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Organization

GRACE COMMUNITY HOSPICE CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IJAZ YAQOOB (PRESIDENT)
(989) 598-7822
Entity
Organization

Contact information

Practice address
14184 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4210
(989) 598-7822
Mailing address
14184 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4210
(989) 598-7822

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
02/25/2019
Last updated
02/25/2019
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