Organization
MACGRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNWANA GODWIN ENOIDEM (CEO)
(951) 426-8765
Entity
Organization
Contact information
Practice address
16109 VIA ULTIMO, MORENO VALLEY, CA 92551-1625
(951) 426-8765
Mailing address
16109 VIA ULTIMO, MORENO VALLEY, CA 92551-1625
(951) 426-8765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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