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Organization
GRACE RELIANT HEALTHCARE, LLC
Active
Organization
GRACE RELIANT HEALTHCARE, LLC
Active
Other names
Grace Reliant Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN KAY STONE (MANAGING MEMBER)
(573) 204-9200
Entity
Organization
Contact information
Practice address
510 W MAIN ST, JACKSON, MO 63755-1741
(573) 204-9200
(573) 243-7133
Mailing address
PO BOX 332, JACKSON, MO 63755-0332
(573) 204-9200
(573) 243-7743
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MO
Other
Enumeration date
02/24/2015
Last updated
05/01/2015
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