Organization
GRACIOUS CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PIERRE OMELER (MEMBER, MANAGER)
(781) 929-2273
Entity
Organization
Contact information
Practice address
1210 UTICA AVE, BROOKLYN, NY 11203-5910
(718) 929-0919
Mailing address
49B ERLANGER BLVD, NORTH BABYLON, NY 11703-1106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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