GRACE THERAPEUTIC HOMES, LLC
Agencies at Jasper Dr, Killeen, TX

License number
Texas 015594
Category
Agencies
Type
Home Health
Owner
Name: MISS ICILDA G EDWARDS LVN
Title: OWNER/OPERATOR
Phone: (254) 245-9592
Address
Address
1206 W Jasper Dr, Killeen, TX 76549
National Provider ID: 1013299031
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRACE THERAPEUTIC HOMES LLC

Killeen, TX

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Registration:
Sep 26, 2011
Addresses:
1206 W Jasper Dr STE A, Killeen, TX 76549 (Mailing)
365 Llewellyn Ln, Killeen, TX 76542
State ID:
0801485460
Business type:
Domestic Limited Liability Company (LLC)
Owner, Director:
Icilda Edwards (Owner, Director), 365 Llewellyn Ln, Killeen, TX 76542
Agent:
Icilda Grace Edwards,1206A W Jasper Rd, Killeen, TX 76549 (Physical)
TIN:
32045159855

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