Organization
GRACE COVENANT HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ICILDA G EDWARDS (OWNER/MANAGER)
(248) 252-6739
Entity
Organization
Contact information
Practice address
3409 SHORELINE DR, HARKER HEIGHTS, TX 76548-8120
(248) 252-6739
(254) 393-0457
Mailing address
3409 SHORELINE DR, HARKER HEIGHTS, TX 76548-8120
(248) 252-6739
(254) 393-0457
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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