Organization
GRACE CARING ANGELS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY AYUK TAKANG (PROGRAM MANAGER)
(832) 659-5232
Entity
Organization
Contact information
Practice address
11515 CHARIOT DR, STAFFORD, TX 77477-1214
(832) 659-5232
Mailing address
11515 CHARIOT DR, STAFFORD, TX 77477-1214
(832) 659-5232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253J00000X
Foster Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/05/2020
Last updated
03/06/2020
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