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NPI Code Detail

MEDICARE: AMAZINGLY GRACE HOSPICE INC

MEDICARE: AMAZINGLY GRACE HOSPICE 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
1253Z00000XIn Home Supportive Care Agency
23747P1801XPersonal Care Attendant
3251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1568129161
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMAZINGLY GRACE HOSPICE INC
Provider Business Mailing Address
First Line : 7322 SOUTHWEST FWY SUITE 645 ROOM F
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2065
Country : US
Telephone Number : 832-672-1588
Fax Number : 713-588-8863
Provider Business Practice Location Address
First Line : 7322 SOUTHWEST FWY STE 645
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2065
Country : US
Telephone Number : 832-672-1588
Fax Number : 713-588-8863
Authorized Official
Title or Position : CEO/OWNER/PRESIDENT
Name : ADEBAYO OSHINUGA
Credential :
Telephone Number : 832-672-1588
Provider Enumeration Date : 11/18/2021
Last Update Date : 09/02/2022

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Directions to “AMAZINGLY GRACE HOSPICE INC ” Practice Location

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