Organization
A TOUCH OF GRACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY THOMASEEC MSP (CEO)
(910) 867-9754
Entity
Organization
Contact information
Practice address
2526 VESTAL AVE, FAYETTEVILLE, NC 28301-2442
(910) 867-9754
(910) 867-4600
Mailing address
120 WESTLAKE RD, SUITE 1, FAYETTEVILLE, NC 28314-4451
(910) 867-9754
(910) 867-4600
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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