Organization
GRACELAND MEDICAL SUPPLIES & HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARKEISA SHERELL AVERY (OWNER/ MANAGER)
(919) 537-5398
Entity
Organization
Contact information
Practice address
1708 TRAWICK RD STE 220, RALEIGH, NC 27604-3897
(919) 537-5398
(919) 615-4023
Mailing address
1708 TRAWICK RD STE 220, RALEIGH, NC 27604-3897
(919) 537-5398
(919) 615-4023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
10/28/2024
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