Organization
GRACE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY J MAKONYONGA (COO)
(320) 310-2631
Entity
Organization
Contact information
Practice address
600 KENDALL CT, SARTELL, MN 56377-4617
(320) 310-2631
Mailing address
600 KENDALL CT, SARTELL, MN 56377-2272
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
04/13/2016
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