Organization
HOME OF GRACE REHABILITAION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALLYNN LONGINO (CEO)
(972) 330-1179
Entity
Organization
Contact information
Practice address
555 REPUBLIC DR STE 200, PLANO, TX 75074-5469
(972) 330-1179
Mailing address
5713 SAINT THOMAS DR, PLANO, TX 75094-4618
(972) 330-1179
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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