Organization
GRACE PCH CARING HAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMA OKIVIE (CEO)
(678) 463-5695
Entity
Organization
Contact information
Practice address
675 BRAND SOUTH TRL, LAWRENCEVILLE, GA 30046-8865
(678) 463-5695
Mailing address
675 BRAND SOUTH TRL, LAWRENCEVILLE, GA 30046-8865
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451656787A
—
GA
Enumeration date
03/21/2010
Last updated
03/21/2010
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