Organization
SHIELD OF GRACE HHC, LLC
Active
Other names
SHIELD OF GRACE HOME HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSVALDO RICK TERRAZAS (ADMINISTRATOR)
(915) 592-4000
Entity
Organization
Contact information
Practice address
11395 JAMES WATT A-11, 11395 JAMES WATT SUITE A-11, EL PASO, TX 79936
(915) 592-4000
(915) 633-9855
Mailing address
11395 JAMES WATT A-11, 11395 JAMES WATT SUITE A-11, EL PASO, TX 79936
(915) 592-4000
(915) 633-9855
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/25/2014
Last updated
09/24/2018
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