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Organization
SAVIN GRACE, LLC
Active
Organization
SAVIN GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MITCHELL (OWNER)
(919) 791-8104
Entity
Organization
Contact information
Practice address
10910 NC 222 HWY W, MIDDLESEX, NC 27557-8377
(919) 901-4142
Mailing address
10910 NC 222 HWY W, MIDDLESEX, NC 27557-8377
(919) 901-4142
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-051-173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604326
—
NC
Enumeration date
04/01/2009
Last updated
04/01/2009
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