Organization
PEARLS OF GRACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIGISTI HISMITH (EXECUTIVE DIRECTOR)
(407) 917-2028
Entity
Organization
Contact information
Practice address
414 BAXTER AVE STE 205, LOUISVILLE, KY 40204-1198
(407) 917-2028
Mailing address
424 E CENTRAL BLVD # 545, ORLANDO, FL 32801-1923
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/18/2021
Last updated
06/12/2024
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