Organization
GRACE HEALTHCARE SERVICES LLC
Active
Parent organization
GRACE HEALTHCARE SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE HEALTHCARE SERVICES LLC
Authorized official
BASSEY EKANEM (MANAGING PARTNER)
(703) 447-7584
Entity
Organization
Contact information
Practice address
3519 PELHAM RD, SUITE 104, GREENVILLE, SC 29615-4181
(864) 438-2635
Mailing address
3519 PELHAM RD, SUITE 104, GREENVILLE, SC 29615-4181
(864) 438-2635
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1406110221
SC
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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