| Special Graces Llc | |
|
74 Terra Bella Dr Manvel TX 77578-3340 | |
| (409) 658-3411 | |
| Not Available |
| Full Name | Special Graces Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 74 Terra Bella Dr, Manvel, Texas |
| Authorized Official Name and Position | Lisa Marino (OWNER) |
| Authorized Official Contact | 4096583411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Graces Llc Po Box 841895 Pearland TX 77584-0026 Ph: (409) 658-3411 | Special Graces Llc 74 Terra Bella Dr Manvel TX 77578-3340 Ph: (409) 658-3411 |
| NPI Number | 1710323753 |
|---|---|
| Provider Enumeration Date | 05/16/2013 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710323753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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