Organization
GRACE ESSENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY JENAE WAYNE (OWNER)
(314) 683-7552
Entity
Organization
Contact information
Practice address
3236 PARKER RD, FLORISSANT, MO 63033-3733
(314) 683-7552
Mailing address
3246 PARKER RD, FLORISSANT, MO 63033-3733
(314) 683-7552
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
10/21/2020
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