Organization
GRACE RELIANT HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DUER (PRESIDENT)
(573) 204-9200
Entity
Organization
Contact information
Practice address
160 N ENTERPRISE LN, JACKSON, MO 63755-4106
(573) 204-9200
Mailing address
160 N ENTERPRISE LN, JACKSON, MO 63755-4106
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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