Organization
ANGELS OF GRACE WELLNESS LLC
Active
Organization
ANGELS OF GRACE WELLNESS LLC
Active
Other names
Angels of Grace Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE OLAMIJULO FNP-BC (CEO)
(516) 847-2418
Entity
Organization
Contact information
Practice address
17 FIRETHORNE LN, VALLEY STREAM, NY 11581-1727
(516) 847-2418
(970) 233-4556
Mailing address
17 FIRETHORNE LN, VALLEY STREAM, NY 11581-1727
(516) 847-2418
(970) 233-4556
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/10/2024
Last updated
01/06/2026
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