Organization
HEAVENLY GRACE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARESSA SCOTT LPN (ADMINISTRATOR)
(262) 394-6183
Entity
Organization
Contact information
Practice address
124A LINCOLN AVE, SHEBOYGAN, WI 53081-2936
(262) 394-6183
(262) 394-6183
Mailing address
124A LINCOLN AVE, SHEBOYGAN, WI 53081-2936
(262) 394-6183
(262) 394-6183
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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