Organization
GRACE HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMUETINYAN OSAYANDE (OWNER/PRESIDENT/ADMINISTRATOR)
(857) 247-9822
Entity
Organization
Contact information
Practice address
69 ANAWAN ST, BROCKTON, MA 02302-2408
(857) 247-9822
Mailing address
69 ANAWAN ST, BROCKTON, MA 02302-2408
(857) 247-9822
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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