Organization
ANOINTING GRACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIMEKA WALKER PTA (CEO/OWNER)
(727) 560-6224
Entity
Organization
Contact information
Practice address
2575 63RD AVE S, ST PETERSBURG, FL 33712-5247
(727) 490-9795
(727) 864-1708
Mailing address
PO BOX 13751, ST PETERSBURG, FL 33733-3751
(727) 490-9795
(727) 864-1708
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106103900
—
FL
Enumeration date
01/20/2022
Last updated
01/20/2022
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