Organization
HEARTS OF GRACE LLC
Active
Organization
HEARTS OF GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEQUANDA NELSON LPN (OWNER/ADMINISTRATOR)
(321) 745-5485
Entity
Organization
Contact information
Practice address
244 BARTON BLVD UNIT 307, ROCKLEDGE, FL 32955-2861
(321) 745-5485
Mailing address
244 BARTON BLVD UNIT 307, ROCKLEDGE, FL 32955-2861
(321) 745-5485
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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