NPI 1376770669
Home of Grace Rehabilitaion Center
Practice location
- Address
- 555 Republic Dr STE 200, Plano, TX 75074-5469
- Phone
- (972) 330-1179
- Mailing address
- 5713 Saint Thomas Dr, Plano, TX 75094-4618
Authorised official
- Name
- Gerallynn Longino
- Title
- Ceo
- Phone
- (972) 330-1179
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1376770669
- Entity type
- Organization
- NPI issued
- 15 Jun 2009
- Record last updated
- 15 Jun 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.