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Organization
PLACE OF GRACE LLC
Active
Organization
PLACE OF GRACE LLC
Active
Other names
Lighthouse Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHEA WILSON (CEO)
(989) 673-2500
Entity
Organization
Contact information
Practice address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
(989) 673-0232
Mailing address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
(989) 673-0232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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