Provider Demographics
NPI:1063108694
Name:GRACE ABOUND HOME CARE LIMITED
Entity type:Organization
Organization Name:GRACE ABOUND HOME CARE LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NKUNDIYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-718-2365
Mailing Address - Street 1:528 STARVIEW ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5058
Mailing Address - Country:US
Mailing Address - Phone:512-718-2365
Mailing Address - Fax:
Practice Address - Street 1:204 CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:NOLANVILLE
Practice Address - State:TX
Practice Address - Zip Code:76559-4641
Practice Address - Country:US
Practice Address - Phone:512-718-2365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health