GRACE PERSONAL CARE SERVICE INC NPI 1164638565

NPI Information

GRACE PERSONAL CARE SERVICE, INC is a personal care attendant technician in Gallup, NM. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards GRACE PERSONAL CARE SERVICE, INC NPI is 1164638565. The provider is registered as an organization entity type.

The provider's business location address is:

1613 SOUTH 2ND STREET
GALLUP, NM
ZIP 57301-816
Phone: (505) 863-5898
Fax: (505) 896-4513

The provider's authorized official is Tom Crider .
The authorized official title is Owner/president and has the following contact phone number (505) 863-5898.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 7/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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