Organization
A TOUCH OF GRACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY THOMASEEC MSP (CEO)
(910) 867-9754
Entity
Organization
Contact information
Practice address
6512 KEMPER CT, FAYETTEVILLE, NC 28303-2326
(910) 867-9754
(910) 867-4600
Mailing address
120 WESTLAKE RD, SUITE 1, FAYETTEVILLE, NC 28314-4451
(910) 867-9754
(910) 867-4600
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/11/2014
Last updated
10/02/2015
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