Organization
HOUSE OF GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ONYINYECHI URADU MD (MEDICAL DIRECTOR)
(606) 939-8486
Entity
Organization
Contact information
Practice address
401 CAMDEN RD, HUNTINGTON, WV 25704-2708
(606) 939-8486
Mailing address
401 CAMDEN RD, HUNTINGTON, WV 25704-2708
(606) 939-8486
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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