Organization
GRACE PRESBYTERIAN MINISTRIES, INC.
Active
Other names
Grace Presbyterian Village
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EARL RICHARDSON (DIRECTOR HEALTHCARE SERVICES)
(214) 226-8068
Entity
Organization
Contact information
Practice address
550 E ANN ARBOR AVE, DALLAS, TX 75216-6718
(214) 376-1701
Mailing address
12467 MERIT DR, DALLAS, TX 75251-2344
(214) 413-1523
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428401
—
TX
Enumeration date
11/02/2005
Last updated
05/23/2019
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