Organization
GUIDE TO GRACE LLC
Active
Organization
GUIDE TO GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKEERAH JOHNSON (OWNER)
(267) 259-3957
Entity
Organization
Contact information
Practice address
1714 N 55TH ST, PHILADELPHIA, PA 19131-3509
(267) 259-3957
Mailing address
510 N BROAD ST APT 621, PHILADELPHIA, PA 19130-4344
(267) 259-3957
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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