Organization
MY GRACE IS SUFFICIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY ANNE BRASTROM (OWNER)
(231) 510-9969
Entity
Organization
Contact information
Practice address
3425 HEALEY ST, SEBRING, FL 33872-3142
(231) 510-9969
(863) 452-0069
Mailing address
815 S ANGLIM AVE, AVON PARK, FL 33825-3551
(231) 510-9969
(863) 452-0069
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
06/16/2018
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