Organization
GOD HOUSE OF GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH WATTS (EXECUTIVE DIRECTOR)
(901) 900-0037
Entity
Organization
Contact information
Practice address
496 SPARROW LN, SAN JACINTO, CA 92582-6970
(901) 900-0037
Mailing address
496 SPARROW LN, SAN JACINTO, CA 92582-6970
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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