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Organization
MOTHER OF GRACE LLC
Active
Organization
MOTHER OF GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ONUAWUCHI ASI (PROVIDER)
(734) 560-6541
Entity
Organization
Contact information
Practice address
7947 TULANE ST, TAYLOR, MI 48180-2321
(231) 715-2383
Mailing address
7947 TULANE ST, TAYLOR, MI 48180-2321
(231) 715-2383
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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