Organization
HIS GRACE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MASHUSHIRE (CEO)
(469) 235-7900
Entity
Organization
Contact information
Practice address
2528 JACOBSON DR, LEWISVILLE, TX 75067-8200
(469) 235-7900
Mailing address
2528 JACOBSON DR, LEWISVILLE, TX 75067-8200
(469) 235-7900
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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