| NPI | 1508268236 |
|---|---|
| Doing Business As | SHIELD OF GRACE HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | OSVALDO RICK TERRAZAS Administrator 915-592-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2018-09-24 |