Organization
EUPHORIA GRACE HOMES LLC
Active
Organization
EUPHORIA GRACE HOMES LLC
Active
Other names
EUPHORIA GRACE HOMES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHIDINMA CYNTHIA UKAH NP (DIRECTOR)
(859) 230-7553
Entity
Organization
Contact information
Practice address
424 BEECH CT, FORNEY, TX 75126-6925
(859) 230-7553
Mailing address
123 FLAMINGO ROAD, FORNEY, TX 75126
(859) 230-7553
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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