Organization
LOVING GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYSHAWN JULIEN RN (RN/ OWNER)
(803) 464-1548
Entity
Organization
Contact information
Practice address
2605 STIRRUP LN, DALZELL, SC 29040-9412
(803) 494-7724
Mailing address
2605 STIRRUP LN, DALZELL, SC 29040-9412
(803) 494-7724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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