Organization
GRACE HS LLC
Active
Other names
Grace Healthcare Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAM STERN (CFO)
(718) 567-0400
Entity
Organization
Contact information
Practice address
105 FIELDCREST AVE, SUITE 402, EDISON, NJ 08837-3628
(866) 447-0246
Mailing address
14C 53RD ST, SUITE 220, BROOKLYN, NY 11232-2644
(718) 567-0400
(718) 567-0600
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
24015
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108707
—
NJ
Enumeration date
10/15/2015
Last updated
10/15/2015
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