Organization
CHRISTY GRACE HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OYEN JOSHUA BORNGT IYAMU (CEO)
(512) 586-9963
Entity
Organization
Contact information
Practice address
2000 S IH 35 STE Q8C, ROUND ROCK, TX 78681-6917
(512) 586-9963
(512) 271-8358
Mailing address
2000 S IH 35 STE Q8C, ROUND ROCK, TX 78681-6917
(512) 586-9963
(512) 271-8358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363595501
—
TX
Enumeration date
08/17/2015
Last updated
06/02/2021
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