Organization
GRACE EXCELLENCY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MODUPE OLAGBEGI (EXECUTIVE DIRECTOR)
(973) 698-5119
Entity
Organization
Contact information
Practice address
515 VALLEY ST STE 17, MAPLEWOOD, NJ 07040-1388
(973) 313-1700
(973) 313-2300
Mailing address
515 VALLEY ST STE 17, MAPLEWOOD, NJ 07040-1388
(973) 313-1700
(973) 313-2300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0200100
NJ
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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