Organization
GRACEFUL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMONIE PATRICK (MGR)
(407) 307-4821
Entity
Organization
Contact information
Practice address
1500 PARK CENTER DR STE 230, ORLANDO, FL 32835-5708
(407) 307-4821
Mailing address
1500 PARK CENTER DR STE 230, ORLANDO, FL 32835-5708
(407) 307-4821
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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