Provider Demographics
NPI:1871094938
Name:GRACE COMPASSION HEALTHCARE STAFFING LLC
Entity type:Organization
Organization Name:GRACE COMPASSION HEALTHCARE STAFFING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARKO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-516-1069
Mailing Address - Street 1:120 FM544
Mailing Address - Street 2:STE72 #418
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4143
Mailing Address - Country:US
Mailing Address - Phone:951-742-1629
Mailing Address - Fax:
Practice Address - Street 1:8330 LBJ FWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1166
Practice Address - Country:US
Practice Address - Phone:951-907-9372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health