Organization
ALL GRACE FAMILY HOME, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACRESHA CALDWELL (OWNER)
(352) 602-7091
Entity
Organization
Contact information
Practice address
914 EDGEWATER DR, EUSTIS, FL 32726-2690
(352) 602-7091
(352) 557-8562
Mailing address
914 EDGEWATER DR, EUSTIS, FL 32726-2690
(352) 602-7091
(352) 557-8562
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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