# GRACE & CO CONCIERGE SERVICES LLC

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

## Provider details

- **NPI number:** 1265366124
- **Authorized official:** LISA ANTONNETTE MARSHALL RN (FOUNDER)
- **Authorized official phone:** (954) 574-7963

## Contact information

- **Practice address:** 5358 SW 183RD AVE, MIRAMAR, FL 33029-6311
- **Practice address phone:** (954) 574-7963
- **Mailing address:** 5358 SW 183RD AVE, MIRAMAR, FL 33029-6311
- **Mailing address phone:** (954) 574-7963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | NULL | — |
| 364SH0200X | Home Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 06/08/2026
- **Last updated:** 06/08/2026
