Organization
AMAZING GRACE GREATER HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE KING (C.E.O.)
(281) 330-4272
Entity
Organization
Contact information
Practice address
9231 FLORAL CREST DR, HOUSTON, TX 77083-6226
(281) 330-4272
Mailing address
9231 FLORAL CREST DR, HOUSTON, TX 77083-6226
(281) 330-4272
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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