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NPI Code Detail

MEDICARE: GRACEFUL HANDS HEALTHCARE INC

MEDICARE: GRACEFUL HANDS HEALTHCARE 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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1588428130
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACEFUL HANDS HEALTHCARE INC
Provider Business Mailing Address
First Line : 3610 SHIRE VALLEY DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5531
Country : US
Telephone Number : 832-417-8965
Fax Number :
Provider Business Practice Location Address
First Line : 3610 SHIRE VALLEY DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5531
Country : US
Telephone Number : 832-417-8965
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. LATRICIA L MACKLIN
Credential :
Telephone Number : 832-417-8965
Provider Enumeration Date : 02/13/2024
Last Update Date : 09/12/2024

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Directions to “GRACEFUL HANDS HEALTHCARE INC ” Practice Location

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