Healthcare Provider Details

I. General information

NPI: 1275497299
Provider Name (Legal Business Name): A TOUCH OF GRACE NMA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7491 W OAKLAND PARK BLVD STE 307
TAMARAC FL
33319-4966
US

IV. Provider business mailing address

3556 GULFSTREAM RD
LAKE WORTH FL
33461-3539
US

V. Phone/Fax

Practice location:
  • Phone: 561-201-0746
  • Fax: 561-201-0746
Mailing address:
  • Phone: 561-201-0746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MARYZOL VAZQUES
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-201-0746