Organization
HEAVENLY GRACE OURANIOS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORA E MARTINEZ LVN (CEO)
(956) 854-4386
Entity
Organization
Contact information
Practice address
2308 VIOLA ST, MISSION, TX 78574-7922
(956) 854-4386
(956) 854-4383
Mailing address
620 S TEXAS BLVD STE D, WESLACO, TX 78596-4241
(956) 854-4386
(956) 854-4383
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32060230383
TAX ID
TX
Enumeration date
06/08/2016
Last updated
10/19/2016
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