Organization
GRACE PLACE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA MCNAIR (CEO)
(772) 446-2156
Entity
Organization
Contact information
Practice address
160 SE CELESTIA CT, PORT SAINT LUCIE, FL 34983-2120
(772) 446-2156
Mailing address
160 SE CELESTIA CT, PORT SAINT LUCIE, FL 34983-2120
(772) 446-2156
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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