Organization
LIGHT AND GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE RIOS (OWNER)
(667) 770-6549
Entity
Organization
Contact information
Practice address
108 E RIDGEVILLE BLVD STE A, MOUNT AIRY, MD 21771-5934
(667) 770-6549
(866) 949-4549
Mailing address
1310 9TH AVE UNIT 2488, PHENIX CITY, AL 36868-5091
(667) 770-6549
(866) 949-4549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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