Organization
ABUNDANT GRACE FAMILY CARE HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIAGELI N OKOLI (ADMINISTRATOR)
(862) 224-2861
Entity
Organization
Contact information
Practice address
1140 BENSON RD STE 201, GARNER, NC 27529-4659
(862) 224-2861
Mailing address
1140 BENSON RD STE 201, GARNER, NC 27529-4659
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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