Organization
LOVING HANDS OF GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ERICA NICOLE WATFORD CMAA (CEO)
(478) 719-6646
Entity
Organization
Contact information
Practice address
3876 NORTHSIDE DR APT 804, MACON, GA 31210-2447
(478) 719-6646
Mailing address
3876 NORTHSIDE DR APT 804, MACON, GA 31210-2447
(478) 719-6646
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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