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Organization

GRACE EXCELLENCY CARE

Active
Parent organization
GRACE EXCELLENCY CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRACE EXCELLENCY CARE
Authorized official
GRACE MODUPE OLAGBEGI (EXECUTIVE DIRECTOR)
(973) 313-1700
Entity
Organization

Contact information

Practice address
837 VALLEY ST APT C, VAUXHALL, NJ 07088-1257
(973) 313-1700
(973) 313-2300
Mailing address
2066 MILLBURN AVE STE 102, MAPLEWOOD, NJ 07040-3722
(973) 313-1700
(973) 313-2300

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
11/22/2021
Last updated
11/22/2021
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