Organization
CELESTIAL GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYCOYA HOLLOWAY (OWNER)
(727) 370-2277
Entity
Organization
Contact information
Practice address
4301 28TH ST N APT 215, SAINT PETERSBURG, FL 33714-3960
(727) 370-2277
Mailing address
4301 28TH ST N APT 215, SAINT PETERSBURG, FL 33714-3960
(727) 370-2277
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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