Organization
GRACE RENTAL INC.
Active
Other names
Grace Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN AUBREY KEITH (PRESIDENT)
(903) 586-9485
Entity
Organization
Contact information
Practice address
111 CASH ST, JACKSONVILLE, TX 75766-8869
(903) 586-9485
(903) 589-4379
Mailing address
111 CASH ST, JACKSONVILLE, TX 75766-8869
(903) 586-9485
(903) 589-4379
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
0079009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506646
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/12/2006
Last updated
09/11/2025
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