Organization
GRACE AND MERCY HOME HEALTH LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACE GAMBLE BSFM (EXECUTIVE ADMINISTRATOR)
(843) 758-4860
Entity
Organization
Contact information
Practice address
2370 GREEN RD, LAKE CITY, SC 29560-5483
(843) 394-0058
(888) 910-0680
Mailing address
2370 GREEN RD, LAKE CITY, SC 29560-5483
(843) 758-4860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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