Organization
GRACE VISITING NURSES AND HOME HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBREY D KEITH (OWNER/CEO)
(903) 586-9485
Entity
Organization
Contact information
Practice address
111 CASH ST, JACKSONVILLE, TX 75766
(903) 586-9485
(903) 586-8462
Mailing address
PO BOX 1190, 111 CASH ST, JACKSONVILLE, TX 75766
(903) 586-9485
(903) 586-8462
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117830-01
—
TX
01
—
HH9155
BCBS
TX
Enumeration date
03/03/2006
Last updated
03/16/2016
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