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Organization

GRACEFUL CARE PRIMARY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA LEWIS FNP (OWNER)
(719) 233-0383
Entity
Organization

Contact information

Practice address
7222 COMMERCE CENTER DR STE 220, COLORADO SPRINGS, CO 80919-2631
(719) 233-0383
(719) 890-7317
Mailing address
8767 ROYAL MELBOURNE CIR, PEYTON, CO 80831-4103
(719) 233-0383

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/29/2025
Last updated
05/29/2025
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