Organization
GRACE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEGRETTA M LEE R.N. (ADMINISTRATOR)
(910) 739-8911
Entity
Organization
Contact information
Practice address
406 N WALNUT ST, SUITE C, LUMBERTON, NC 28358-5505
(910) 739-8911
Mailing address
PO BOX 3594, LUMBERTON, NC 28359-3594
(910) 739-8911
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3897
NC
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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