Organization
GRACIOUS CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PIERRE OMELER (DIRECTOR)
(718) 629-0919
Entity
Organization
Contact information
Practice address
1210 UTICA AVE, 1ST FLOOR, BROOKLYN, NY 11203-5910
(718) 629-0919
(718) 629-0920
Mailing address
49B ERLANGER BLVD, NORTH BABYLON, NY 11703-1106
(718) 629-0919
(718) 629-0920
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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