| Organization Name: | GRACE HOSPICE OF SAN ANTONIO, LLC |
| NPI Number: | 1457387128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL E. SMITH (CEO/AUTHORIZED OFFICIAL) |
| Mailing Address: | 4800 Fredericksburg Rd Ste125 San Antonio |
| State: | TX US |
| Postal Code: | 782299602 |
| Phone Number: | 2105251400 |
| Fax Number: | 2105251401 |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 013783 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |