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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