Organization
GRACE COVENANT SERVICES, LLC
Active
Other names
Grace Covenant Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOHNSON REGISTERED NURSE (ADMINISTRATOR)
(662) 580-0635
Entity
Organization
Contact information
Practice address
1600 E REED RD, GREENVILLE, MS 38703-7229
(662) 580-0653
(662) 580-0569
Mailing address
1600 E REED RD, GREENVILLE, MS 38703-7229
(662) 580-0653
(662) 580-0569
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
12/20/2022
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