Organization
GIVING GRACE SHARED LIVING
Active
Other names
CEC Health
Organization subpart
No
Provider details
NPI number
Authorized official
CEKEYTRA CHAMBERS (ADMINISTRATOR)
(682) 564-2349
Entity
Organization
Contact information
Practice address
7105 KICKAPOO DR, FORT WORTH, TX 76179-4710
(682) 564-2349
Mailing address
1740 KACHINA LODGE RD, FORT WORTH, TX 76131-2418
(682) 564-2349
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/06/2018
Last updated
07/28/2024
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