# GRACE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013336627
- **Authorized official:** MR. GORDON E COBURN APRN-BC (OWNER)
- **Authorized official phone:** (423) 283-4958

## Contact information

- **Practice address:** 2 WORTH CIR, SUITE 2, JOHNSON CITY, TN 37601-4306
- **Practice address phone:** (423) 283-4958
- **Practice address fax:** (423) 283-7135
- **Mailing address:** 2 WORTH CIR, SUITE 2, JOHNSON CITY, TN 37601-4306
- **Mailing address phone:** (423) 283-4958
- **Mailing address fax:** (423) 283-7135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 11054 | TN | Yes |

## Other

- **Enumeration date:** 04/10/2014
- **Last updated:** 04/10/2014