Provider Demographics
NPI:1568728855
Name:DE 'GRACE HEALTHCARE, INC
Entity Type:Organization
Organization Name:DE 'GRACE HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:ANYAFULU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-254-6134
Mailing Address - Street 1:10122 DUCHAMP DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8600
Mailing Address - Country:US
Mailing Address - Phone:713-254-6134
Mailing Address - Fax:
Practice Address - Street 1:10122 DUCHAMP DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8600
Practice Address - Country:US
Practice Address - Phone:713-254-6134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health