Organization
AMAZING GRACE CARE GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN NGAM (ADMINISTRATOR)
(214) 701-5862
Entity
Organization
Contact information
Practice address
1001 HILLCREST DRIVE, DESOTO, TX 75115
(214) 701-5862
Mailing address
1001 HILLCREST DRIVE, DESOTO, TX 75115
(214) 701-5862
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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