Organization
GRACIOUS LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ADJEI FNP (CEO)
(646) 420-9805
Entity
Organization
Contact information
Practice address
201 SOUTH AVE STE 204, POUGHKEEPSIE, NY 12601-4836
(646) 420-9805
Mailing address
201 SOUTH AVE STE 204, POUGHKEEPSIE, NY 12601-4836
(646) 420-9805
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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