# GRACEFUL CARE PRIMARY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043103260
- **Authorized official:** ALICIA LEWIS FNP (OWNER)
- **Authorized official phone:** (719) 233-0383

## Contact information

- **Practice address:** 7222 COMMERCE CENTER DR STE 220, COLORADO SPRINGS, CO 80919-2631
- **Practice address phone:** (719) 233-0383
- **Practice address fax:** (719) 890-7317
- **Mailing address:** 8767 ROYAL MELBOURNE CIR, PEYTON, CO 80831-4103
- **Mailing address phone:** (719) 233-0383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 05/29/2025