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Organization
GRACE AND MERCY HOME HEALTH LC
Active
Organization
GRACE AND MERCY HOME HEALTH LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACE GAMBLE BSFM (EXECUTIVE ADMINISTRATOR)
(843) 758-4860
Entity
Organization
Contact information
Practice address
2370 GREEN RD, LAKE CITY, SC 29560-5483
(843) 394-0058
(888) 910-0680
Mailing address
2370 GREEN RD, LAKE CITY, SC 29560-5483
(843) 758-4860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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