Organization
AMAZING GRACE OVER TEXAS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDA GREEN (OWNER)
(210) 527-9644
Entity
Organization
Contact information
Practice address
7807 SUN FRST, SAN ANTONIO, TX 78239-3224
(210) 527-9644
Mailing address
7807 SUN FRST, SAN ANTONIO, TX 78239-3224
(210) 527-9644
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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