Conscious Grace Adult Service, LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fresno, TX
NPI 1467046540 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1467046540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- Legal business name
- CONSCIOUS GRACE ADULT SERVICE, LLC
- Practice address
- 4830 Montclair Hill LN
Fresno, TX 77545-2036 - Phone
- (832) 207-3147
- NPI assigned
- Mar 1, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Jamaal Paskel
- Title
- Owner
- Phone
- (832) 207-3147
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Yes |
Addresses
Primary practice location
4830 Montclair Hill LN
Fresno, TX 77545-2036
Mailing address
4830 Montclair Hill LN
Fresno, TX 77545-2036
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All providers in Fresno, TX · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.