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Organization
GRACE'S GARDEN
Active
Organization
GRACE'S GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKYSHA S JOHNSON (FOUNDER)
(856) 899-2880
Entity
Organization
Contact information
Practice address
204 ARK RD STE 210B, MOUNT LAUREL, NJ 08054-3193
(856) 222-4313
(856) 222-4315
Mailing address
204 ARK RD STE 210B, MOUNT LAUREL, NJ 08054-3193
(856) 222-4313
(856) 222-4315
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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