Individual
GRACE EWELIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10925 ESTATE LN, SUITE 240, DALLAS, TX 75238-2315
(972) 310-6070
(214) 484-9534
Mailing address
9550 SKILLMAN ST STE 200, DALLAS, TX 75243-8282
(972) 310-6070
(214) 666-3057
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
332643
TX
251E00000X
Home Health Agency
Primary
—
—
3747A0650X
Attendant Care Provider
332643
TX
Other
Enumeration date
09/11/2016
Last updated
05/29/2025
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