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Organization
LOVING GRACE HEALTH CARE LLC
Active
Organization
LOVING GRACE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSENCE GREEN (OWNER/FOUNDER)
(636) 698-2347
Entity
Organization
Contact information
Practice address
305 CLEWER PARK CT, LAKE SAINT LOUIS, MO 63367-2262
(636) 698-2347
Mailing address
305 CLEWER PARK CT, LAKE SAINT LOUIS, MO 63367-2262
(636) 698-2347
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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