Organization
NIA GRACE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUESHAWNA S COOK (OWNER/OPERATOR)
(386) 244-5994
Entity
Organization
Contact information
Practice address
119 POSSUM WALK RD, SATSUMA, FL 32189-2422
(386) 244-5994
Mailing address
119 POSSUM WALK RD, SATSUMA, FL 32189-2422
(386) 244-5994
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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