# OUR GRACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679117543
- **Authorized official:** LACEISHA KING (OWNER)
- **Authorized official phone:** (225) 505-1607

## Contact information

- **Practice address:** 11940 BRICKSOME AVE STE D, BATON ROUGE, LA 70816-2594
- **Practice address phone:** (225) 505-1607
- **Mailing address:** 11940 BRICKSOME AVE STE D, BATON ROUGE, LA 70816-2594
- **Mailing address phone:** (225) 505-1607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2019
- **Last updated:** 11/04/2019