Organization
GRACE RELIANT HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K STONE (MEMBER PARTNER)
(573) 803-5002
Entity
Organization
Contact information
Practice address
2749 THOMAS DR, CAPE GIRARDEAU, MO 63701-2131
(573) 803-5009
(573) 803-5008
Mailing address
2749 THOMAS DR, CAPE GIRARDEAU, MO 63701-2131
(573) 803-5009
(573) 803-5008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
861-HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013266436
—
MO
05
—
861-HH
—
MO
Enumeration date
08/30/2012
Last updated
03/21/2023
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