Organization
WALKING IN GRACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LONGVILLE CCDC II (EXECUTIVE DIRECTOR)
(605) 342-0478
Entity
Organization
Contact information
Practice address
2218 JACKSON BLVD., SUITE 12, RAPID CITY, SD 57702
(605) 342-0478
Mailing address
13074 PINE CLIFF CIRCLE, RAPID CITY, SD 57702
(605) 342-0478
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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