Organization
GRACE EXCELLENCY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MODUPE OLAGBEGI (EXECUTIVE DIRECTOR)
(973) 313-1700
Entity
Organization
Contact information
Practice address
2066 MILLBURN AVE STE 102, MAPLEWOOD, NJ 07040-3722
(973) 313-1700
(973) 313-2300
Mailing address
2066 MILLBURN AVE STE 102, MAPLEWOOD, NJ 07040-3722
(973) 313-1700
(973) 313-2300
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
HP0200100
NJ
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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