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Organization

GRACE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL REESE DAVIS (MANAGER)
(225) 291-9383
Entity
Organization

Contact information

Practice address
10602 COURSEY BLVD, BATON ROUGE, LA 70816
(225) 291-9383
Mailing address
10602 COURSEY BLVD, BATON ROUGE, LA 70816
(225) 291-9383

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1567086
LA
Enumeration date
09/20/2006
Last updated
11/28/2007
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