Organization
BYGRACE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA OPIYO (DIRECTOR/ OWNER)
(704) 904-7532
Entity
Organization
Contact information
Practice address
9940 HEATHERGATE LN, MINT HILL, NC 28227-4309
(704) 904-7532
Mailing address
9940 HEATHERGATE LN, MINT HILL, NC 28227-4309
(704) 904-7532
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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