Organization
AGING GRACE SUPPORTS COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTY POINTE JOUR (CHIEF EXECUTIVE OFFICER)
(215) 779-8526
Entity
Organization
Contact information
Practice address
404 DAVISVILLE RD STE 3, WILLOW GROVE, PA 19090-2727
(215) 779-8526
Mailing address
404 DAVISVILLE RD STE 3, WILLOW GROVE, PA 19090-2727
(215) 779-8526
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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