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GRACELAND PERSONAL CARE HOMES INC NPI 1891234134


NPI Information

NPI: 1891234134
Provider Name: GRACELAND PERSONAL CARE HOMES, INC

Other Name: CARRIES ASSISTED LIVING HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2625 COUNTY ROAD 302
CARTHAGE, TX
ZIP 75633
Phone: (903) 694-9290
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GRACELAND PERSONAL CARE HOMES, INC is an assisted living facility in Carthage, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GRACELAND PERSONAL CARE HOMES, INC NPI is 1891234134. The provider is registered as an organization entity type.
The provider Other Name Is Carries Assisted Living Home.

The provider's business location address is:

2625 COUNTY ROAD 302
CARTHAGE, TX
ZIP 75633-103
Phone: (903) 694-9290
Fax: (903) 693-9617

The provider's authorized official is Bobby R Williams .
The authorized official title is President/owner/director and has the following contact phone number (903) 692-1976.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 9/1/2021.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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