Organization Name: | GRACIOUS HEALTH AND HOSPICE,INC |
NPI Number: | 1639593122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTINA NZELU (OWNER/ADMINSTRATOR) |
Mailing Address: | 5716 Edinburg Dr Richardson |
State: | TX US |
Postal Code: | 750822886 |
Phone Number: | 4696887990 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2014 |
NPI Last Update Date: | 05/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |