Organization
GRACENELLY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINYERE O ANUNOBINWAFOR (PRESIDENT/CEO)
(214) 632-3411
Entity
Organization
Contact information
Practice address
1405 COTTONWOOD VALLEY CT, IRVING, TX 75038-6102
(214) 632-3411
Mailing address
1405 COTTONWOOD VALLEY CT, IRVING, TX 75038-6102
(214) 632-3411
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
NA
TX
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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