# GRACE'S GARDEN

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

## Provider details

- **NPI number:** 1730895392
- **Authorized official:** NICKYSHA S JOHNSON (FOUNDER)
- **Authorized official phone:** (856) 899-2880

## Contact information

- **Practice address:** 204 ARK RD STE 210B, MOUNT LAUREL, NJ 08054-3193
- **Practice address phone:** (856) 222-4313
- **Practice address fax:** (856) 222-4315
- **Mailing address:** 204 ARK RD STE 210B, MOUNT LAUREL, NJ 08054-3193
- **Mailing address phone:** (856) 222-4313
- **Mailing address fax:** (856) 222-4315

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2023
- **Last updated:** 01/26/2023