Organization
MERCY N GRACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEHINDE DUPE OGUNBUNMI (EXECUTIVE DIRECTOR)
(804) 536-5770
Entity
Organization
Contact information
Practice address
6618 IRONGATE DR, RICHMOND, VA 23234
(804) 279-0736
(804) 562-5810
Mailing address
PO BOX 34653, RICHMOND, VA 23234-0653
(804) 536-5770
(804) 861-0172
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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