Organization
GRACE REGIONAL MEDICAL CARE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHACON DRAKEFORD RN (CEO)
(757) 502-3402
Entity
Organization
Contact information
Practice address
409 TAPESTRY PARK DR, UNIT 826, CHESAPEAKE, VA 23320-5060
(757) 502-3402
Mailing address
PO BOX 1507, CHESAPEAKE, VA 23327-1507
(757) 502-3402
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0001212360
VA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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