Organization
ABUNDANT GRACE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRICE O FEYISETAN RN (ADMINISTRATOR)
(972) 266-2709
Entity
Organization
Contact information
Practice address
2307 OAK LN STE 106, GRAND PRAIRIE, TX 75051-8275
(972) 266-2709
Mailing address
2307 OAK LN STE 106, GRAND PRAIRIE, TX 75051-8275
(972) 266-2709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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