Organization
GRACE CARRIERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHIA L MILSAP (OWNER)
(352) 636-1948
Entity
Organization
Contact information
Practice address
2309 NORWOOD PL, TAVARES, FL 32778-5101
(352) 636-1948
Mailing address
2309 NORWOOD PL, TAVARES, FL 32778-5101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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