Grace Quality Grouphome LLC
NPI #1407399751 in Haltom City, Texas
Provider Information
- NPI Number
- 1407399751
- Entity Type
- Organization
- Organization Name
- Grace Quality Grouphome LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 18, 2016
- Last Updated
- Nov 18, 2016
Practice Location
- Address
- 5900 EMBER GLEN DR
- City
- Haltom City
- State
- Texas
- ZIP Code
- 76137-5809
- Phone
- (682) 301-2042
Authorized Official
- Name
- MRS. CASSANDRA DELISSAINT
- Title
- GROUP HOME MANAGER
- Phone
- (682) 301-2042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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