Organization
GRACE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI CLARK (CEO)
(614) 209-0790
Entity
Organization
Contact information
Practice address
605 STANLEY AVE, COLUMBUS, OH 43206-2418
(614) 209-0790
Mailing address
PO BOX 6221, COLUMBUS, OH 43206-0221
(614) 209-0790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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