Organization
GRACIE'S HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PRIDMORE (PRESIDENT)
(704) 875-7189
Entity
Organization
Contact information
Practice address
14330 OAKHILL PARK LN, SUITE 140, HUNTERSVILLE, NC 28078-3314
(704) 875-7189
Mailing address
14330 OAKHILL PARK LN, SUITE 140, HUNTERSVILLE, NC 28078-3314
(704) 875-7189
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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