Organization
ABUNDANT GRACE CARE HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA NWACHINEMERE UGBOAJA (PROGRAM MANAGER)
(832) 607-7754
Entity
Organization
Contact information
Practice address
15114 BELLAIRE BLVD, HOUSTON, TX 77083-3104
(832) 607-7754
(832) 607-7754
Mailing address
15114 BELLAIRE BLVD, HOUSTON, TX 77083-3104
(832) 607-7754
(832) 607-7754
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/21/2015
Last updated
12/04/2015
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