Organization
BY THE GRACE HOME HEALTH CARE
Active
Other names
by the grace home health care
Organization subpart
No
Provider details
NPI number
Authorized official
LYSETT B ORTA (CAREGIVER)
(682) 553-9777
Entity
Organization
Contact information
Practice address
904, WALTER ST, BEDFORD, TX 76022
(682) 553-9777
Mailing address
904 WALTER ST, BEDFORD, TX 76022-7028
(683) 553-9777
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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