Organization
AMAZING GRACE REST HOME
Active
Organization
AMAZING GRACE REST HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EARLEEN WELLMON (OWNER)
(704) 435-2952
Entity
Organization
Contact information
Practice address
3633 AMAZING GRACE RD, LAWNDALE, NC 28090-8407
(704) 435-2952
Mailing address
3633 AMAZING GRACE RD, LAWNDALE, NC 28090-8407
(704) 435-2952
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7802290
PROVIDER NUMBER
NC
Enumeration date
02/20/2007
Last updated
06/13/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up