Organization
GRACEFUL CARE CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI BROWN RN (CHIEF EXECUTIVE OFFICER)
(229) 202-7234
Entity
Organization
Contact information
Practice address
716 FOXBOROUGH LN, BONAIRE, GA 31005-3665
(229) 202-7234
(888) 765-7033
Mailing address
716 FOXBOROUGH LN, BONAIRE, GA 31005-3665
(229) 202-7234
(888) 765-7033
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/26/2024
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