MEDICARE: DE GRACE LLC

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
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1841019163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DE GRACE LLC

Provider Business Mailing Address
First Line	:	7620 DIGGES VW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-6340
Country	:	US
Telephone Number	:	508-933-7852
Fax Number	:

Provider Business Practice Location Address
First Line	:	7620 DIGGES VW
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-6340
Country	:	US
Telephone Number	:	508-933-7852
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	VIOLET AKOH
Credential	:
Telephone Number	:	508-933-7852

Provider Enumeration Date	:	10/03/2024
Last Update Date	:	10/03/2024

Similar Medicare Providers

1275349565 — HOPEFUL HORIZON ABA CENTER LLC
Practice Location Address:

7631 DIGGES VW
SAN ANTONIO, TX
78254-6340

Practice Phone: 619-307-9477
Practice Fax:

1629083381 — DR. GLENN C SAMMIS LPC
Practice Location Address:

8546 BROADWAY , SUITE 270
SAN ANTONIO, TX
78217-6340

Practice Phone: 210-860-0888
Practice Fax: 210-826-6106

1861774887 — MR. JOHNNY RAY YBARRA MS, LBA, LCDC
Practice Location Address:

8546 BROADWAY STE 200
SAN ANTONIO, TX
78217-6340

Practice Phone: 210-526-1806
Practice Fax: 210-547-7984

1336599133 — SERGIO GONZALEZ QASP
Practice Location Address:

8546 BROADWAY ST STE 200
SAN ANTONIO, TX
78217-6340

Practice Phone: 210-526-1806
Practice Fax:

1407402837 — MARY ADELLE B BREWER
Practice Location Address:

339 THORMAN PL
SAN ANTONIO, TX
78209-6340

Practice Phone: 210-872-0751
Practice Fax:

1013511153 — EXCEPTIONAL PROVIDER SERVICE, LLC
Practice Location Address:

8546 BROADWAY STE 206
SAN ANTONIO, TX
78217-6340

Practice Phone: 210-579-0223
Practice Fax: 210-579-0242

Directions to “DE GRACE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.