Organization
GRACE ANCHOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTINE TAMBE (PROGRAM MANAGER)
(512) 506-0459
Entity
Organization
Contact information
Practice address
101 EASTVIEW DR, GEORGETOWN, TX 78626-2106
(512) 506-0459
Mailing address
101 EASTVIEW DR, GEORGETOWN, TX 78626-2106
(512) 506-0459
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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