Organization
SAVING GRACE OF OHIO, LLC
Active
Parent organization
SAVING GRACE, LLC
Other names
Saving Grace
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAVING GRACE, LLC
Authorized official
DEBBIE FREEMAN (OWNER)
(606) 433-9997
Entity
Organization
Contact information
Practice address
300 N MAYO TRL STE 7, PIKEVILLE, KY 41501-1563
(606) 433-9997
Mailing address
300 N MAYO TRL STE 7, PIKEVILLE, KY 41501-1563
(606) 433-9997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6429280001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6429280001
MEDICARE PTAN
KY
Enumeration date
03/09/2012
Last updated
12/18/2012
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