Organization
A GRACEFUL PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUAIL TELFAIR (OWNER)
(407) 968-5387
Entity
Organization
Contact information
Practice address
2120 PRESTON LN, KISSIMMEE, FL 34746-0018
(407) 968-5387
Mailing address
2120 PRESTON LN, KISSIMMEE, FL 34746-0018
(407) 968-5387
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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