Organization
GRACIOUS SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAYO BADMUS (CEO)
(908) 233-0005
Entity
Organization
Contact information
Practice address
208 LENOX AVE STE 353, WESTFIELD, NJ 07090-5120
(908) 233-0005
Mailing address
208 LENOX AVE STE 353, WESTFIELD, NJ 07090-5120
(908) 485-9775
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0571911
—
NJ
Enumeration date
08/06/2018
Last updated
09/05/2024
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