Organization
GRACE-N-MERCY FOR 'U'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LEE LYON (EXECUTIVE DIRECTOR)
(704) 262-3796
Entity
Organization
Contact information
Practice address
77 MCCACHERN BLVD SE, CONCORD, NC 28025-3532
(704) 262-3796
Mailing address
77 MCCACHERN BLVD SE, P.O. BOX 26, CONCORD, NC 28025-3532
(704) 262-3796
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NC
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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