Organization
GRACE'S SENIOR CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TELISHA GRANT (OWNE)
(904) 495-8463
Entity
Organization
Contact information
Practice address
8150 FOXDALE DR, JACKSONVILLE, FL 32210-4695
(904) 495-8563
Mailing address
8150 FOXDALE DR, JACKSONVILLE, FL 32210-4695
(904) 495-8563
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233507
FL
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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