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1861094708
GRACEY DE GREAT LLC
HOUSTON, TX
NPI
1861094708
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Entity Type
Organization
Authorized Contact
GRACE IBRAHIM
Manager
832-916-9215
Organization Subpart ?
No
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2020-11-16
Last Update Date
2020-12-21
Business Address
GRACEY DE GREAT LLC
3443 ADDICKS CLODINE RD APT 7108
HOUSTON, TX 77082-3089
Phone number: 832-916-9215
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Mailing Address
GRACEY DE GREAT LLC
PO BOX 820196
HOUSTON, TX 77282-0196
Phone number: 832-916-9215
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