Provider Demographics
NPI:1265215958
Name:GRACE HEARING CENTER
Entity type:Organization
Organization Name:GRACE HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUCH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:520-468-9976
Mailing Address - Street 1:2542 E VISTOSO COMMERCE LOOP
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-9123
Mailing Address - Country:US
Mailing Address - Phone:520-468-9976
Mailing Address - Fax:520-825-4279
Practice Address - Street 1:2919 E BROADWAY BLVD STE 110
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-5301
Practice Address - Country:US
Practice Address - Phone:520-468-9976
Practice Address - Fax:520-825-4279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty