Organization
A'GRACE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIKE OJO (CEO)
(832) 692-6098
Entity
Organization
Contact information
Practice address
12823 WAYBRIDGE ST, SUGAR LAND, TX 77478-2564
(832) 692-6098
Mailing address
12823 WAYBRIDGE ST, SUGAR LAND, TX 77478-2564
(832) 692-6098
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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