Organization
GRACE SOLUTIONS LLC
Active
Other names
Beautiful Life Care & Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA ANDREWS BSN (CHIEF EXECUTIVE OFFICER)
(386) 846-3551
Entity
Organization
Contact information
Practice address
12927 HIGHLAND GATE DR, JACKSONVILLE, FL 32224-1663
(386) 846-3551
Mailing address
12927 HIGHLAND GATE DR, JACKSONVILLE, FL 32224-1663
(386) 846-3551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100595900
—
FL
Enumeration date
09/04/2018
Last updated
10/19/2019
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