Organization
AMAZING GRACE HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNNY STEPHEN UGOCHUKWU PHD (CHAIRMAN CEO)
(972) 436-5241
Entity
Organization
Contact information
Practice address
383 PERRY AVE, LEWISVILLE, TX 75057-3833
(972) 436-5241
(972) 436-5709
Mailing address
383 PERRY AVE, LEWISVILLE, TX 75057-3833
(972) 436-5241
(972) 436-5709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009677
—
TX
Enumeration date
09/20/2006
Last updated
05/12/2015
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