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General NPI Number Information
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NPI Number | 1104858539
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Entity Type | Organization
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Legal Business Name | UNLIMITED GRACE HEALTH CARE LLC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2411 GATEWAY DR STE 100
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City | IRVING
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State | TX
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Zip | 75063-2744
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Country | US
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Telephone | 214-277-8800
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Fax | 214-277-8899
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Provider Business Mailing Address
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Address Line | 2411 GATEWAY DR STE 100
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City | IRVING
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State | TX
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Zip | 75063-2744
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Country | US
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Telephone | 214-277-8800
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Fax | 214-277-8899
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Authorized Official
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Title or Position | CEO & ADMINISTRATOR
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Name | JUSTIN MAJOR
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Credential |
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Telephone | 214-277-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009284
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License Number State | TX
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