Amazing Grace Primary Home Care LLC
NPI #1649539834 in Los Fresnos, Texas
Provider Information
- NPI Number
- 1649539834
- Entity Type
- Organization
- Organization Name
- Amazing Grace Primary Home Care LLC
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- May 9, 2012
- Last Updated
- Mar 21, 2019
Practice Location
- Address
- 220 E OCEAN BLVD
- City
- Los Fresnos
- State
- Texas
- ZIP Code
- 78566-3227
- Phone
- (956) 233-1718
Authorized Official
- Name
- MR. JAVIER C CAVAZOS
- Title
- ADMINISTRATOR
- Phone
- (956) 456-6422
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Technician - Personal Care Attendant — Personal Care Attendant |
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