Organization
GRACELAND SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA CHARLIE MD (MANAGING DIRECTOR)
(701) 690-6299
Entity
Organization
Contact information
Practice address
634 10TH AVE W, DICKINSON, ND 58601-4749
(701) 690-6299
Mailing address
634 10TH AVE W, DICKINSON, ND 58601-4749
(701) 690-6299
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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