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Organization
GRACE PRN LLC
Active
Organization
GRACE PRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYNELL ROBINSON (OWNER)
(770) 769-1728
Entity
Organization
Contact information
Practice address
2398 LENORA CHURCH RD STE 108, SNELLVILLE, GA 30078-6921
(770) 769-1728
Mailing address
2398 LENORA CHURCH RD STE 108, SNELLVILLE, GA 30078-6921
(770) 769-1728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
Other
Enumeration date
04/10/2024
Last updated
01/17/2025
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