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Organization

GODS GRACE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHATONNA MILLER (PRESIDENT)
(773) 678-0886
Entity
Organization

Contact information

Practice address
16431 DOBSON AVE, SOUTH HOLLAND, IL 60473-2512
(872) 222-8450
Mailing address
16431 DOBSON AVE, SOUTH HOLLAND, IL 60473-2512
(872) 222-8450

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251300000X
Local Education Agency (LEA)
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
342000000X
Transportation Network Company
347C00000X
Private Vehicle

Other

Enumeration date
09/12/2022
Last updated
09/12/2022
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