Organization
HEALING GRACE LLC
Active
Organization
HEALING GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL NEVAREZ-MAGGARD (PRESIDENT)
(334) 714-1789
Entity
Organization
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 254-5701
Mailing address
290 SPEARS PT, LANCASTER, KY 40444-7424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100403670
—
KY
Enumeration date
04/01/2016
Last updated
04/21/2020
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