Organization
GRACE PEDIATRIC HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINCY YOUNG ((ADMINISTRATOR))
(423) 309-4149
Entity
Organization
Contact information
Practice address
6050 PEACHTREE PKWY STE 240-225, NORCROSS, GA 30092-3336
(423) 309-4149
Mailing address
6050 PEACHTREE PKWY STE 240-225, NORCROSS, GA 30092-3336
(423) 309-4149
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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