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Organization
AMAZG GRACE HEALTH CARE SERVICES LLC
Active
Organization
AMAZG GRACE HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TITUS ADEBAYO ADEGBOYE (DIRECTOR/CEO)
(919) 884-0432
Entity
Organization
Contact information
Practice address
701 GRANDVIEW DR, DURHAM, NC 27703-2634
(919) 884-0432
(919) 381-4789
Mailing address
701 GRANDVIEW DR, DURHAM, NC 27703-2634
(919) 381-4789
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4815
NC
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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