Individual
MISS GRACE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 MINNESOTA ST, SUITE 1500, SAINT PAUL, MN 55101-2190
(651) 387-3944
Mailing address
6240 TAHOE RD, WOODBURY, MN 55125-1467
(651) 387-3944
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
01/14/2012
Last updated
07/23/2014
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