Organization
AMAZING GRACE ASSISTED LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTRELL THORNTON (CEO)
(314) 757-6932
Entity
Organization
Contact information
Practice address
14812 STRATFORD CT, APT B, BRIDGETON, MO 63044-1962
(314) 757-6932
Mailing address
14812 STRATFORD CT, APT B, BRIDGETON, MO 63044-1962
(314) 757-6932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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