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General NPI Number Information
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NPI Number | 1528415007
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Entity Type | Organization
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Legal Business Name | GRACESPRINGS HEALTHCARE SERVICES
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 4606 FM 1960 RD W, STE 322
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City | HOUSTON
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State | TX
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Zip | 77069
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Country | US
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Telephone | 832-585-1108
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Fax | 832-585-1240
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Provider Business Mailing Address
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Address Line | 4606 FM 1960 RD W, STE 322
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City | HOUSTON
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State | TX
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Zip | 77069
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Country | US
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Telephone | 832-585-1108
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Fax | 832-585-1240
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KUNBI Z ALABI
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Credential |
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Telephone | 832-585-1108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 111111111
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License Number State | TX
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