Organization
GRACE HEALTH CARE CENTER PLLC
Active
Other names
Grace Health & Urgent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINENYE UCHENDU MD (MEDICAL DIRECTOR)
(718) 963-7272
Entity
Organization
Contact information
Practice address
8610 FAYETTEVILLE RD, RAEFORD, NC 28376-1943
(919) 803-6799
Mailing address
8610 FAYETTEVILLE RD, RAEFORD, NC 28376-1943
(919) 803-6799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
10/04/2021
Last updated
12/08/2022
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