MEDICARE: GRACE REQUIRES UNDERSTANDING INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	02401843000	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134262439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE REQUIRES UNDERSTANDING INC.

Provider Business Mailing Address
First Line	:	741 N ALAMEDA BLVD STE 12
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2193
Country	:	US
Telephone Number	:	505-526-2935
Fax Number	:

Provider Business Practice Location Address
First Line	:	741 N ALAMEDA BLVD STE 12
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2193
Country	:	US
Telephone Number	:	505-526-2935
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. EDWARD RUIZ
Credential	:
Telephone Number	:	505-526-2935

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/22/2020

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