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Organization
ACE NURSES/AIDES REGISTRY LLC
Active
Organization
ACE NURSES/AIDES REGISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIUS OTHELLO GRIMES (OWNER)
(770) 728-9252
Entity
Organization
Contact information
Practice address
355 TALL OAKS DR SE UNIT 205, CONYERS, GA 30013-1616
(770) 728-9252
(678) 609-1631
Mailing address
25 MISSION POINTE LN, COVINGTON, GA 30016-6660
(770) 728-9252
(678) 609-1631
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
107-R-1014
GA
251J00000X
Nursing Care Agency
107-R-1014
GA
253Z00000X
In Home Supportive Care Agency
Primary
107-R-1014
GA
253Z00000X
In Home Supportive Care Agency
—
—
311Z00000X
Custodial Care Facility
107-R-1014
GA
385H00000X
Respite Care
107-R-1014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146883A
—
GA
Enumeration date
12/13/2011
Last updated
03/09/2023
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