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Organization
GRACE AND MERCY HEALTHCARE SERVICES INCORPORATED
Active
Organization
GRACE AND MERCY HEALTHCARE SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO PIERRE BLUE (PRESIDENT)
(910) 223-7334
Entity
Organization
Contact information
Practice address
1133 PADDINGTON PL, FAYETTEVILLE, NC 28314-6305
(910) 223-7334
Mailing address
1133 PADDINGTON PL, FAYETTEVILLE, NC 28314-6305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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