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Organization
OUR HOME OF GRACE HOME CARE LLC
Active
Organization
OUR HOME OF GRACE HOME CARE LLC
Active
Other names
Our Home Of Grace Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHA THOMPSON (OWNER)
(229) 569-0423
Entity
Organization
Contact information
Practice address
2940 E PARK AVE UNIT 2-J, TALLAHASSEE, FL 32301-3446
(229) 569-0423
(850) 765-1132
Mailing address
4006 TRALEE RD, TALLAHASSEE, FL 32309-2821
(229) 569-0423
(850) 765-1132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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