Organization
GRACEFUL CARE MANAGEMENT LLC
Active
Other names
Graceful Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STACY MCCOWN FNP-C (OFFICE MANAGER)
(903) 586-3505
Entity
Organization
Contact information
Practice address
203 NACOGDOCHES ST STE 360, JACKSONVILLE, TX 75766-2454
(903) 586-3505
Mailing address
PO BOX 1766, JACKSONVILLE, TX 75766-1766
(903) 586-3505
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
01/03/2021
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