Provider Demographics
NPI:1285086439
Name:DEE GRACE CARE LLC
Entity type:Organization
Organization Name:DEE GRACE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:UZUKWU
Authorized Official - Last Name:NORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-259-3611
Mailing Address - Street 1:3760 TANGLEWILDE ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5154
Mailing Address - Country:US
Mailing Address - Phone:713-299-9053
Mailing Address - Fax:
Practice Address - Street 1:3760 TANGLEWILDE ST
Practice Address - Street 2:SUITE 6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5154
Practice Address - Country:US
Practice Address - Phone:713-299-9053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health