Organization
GOD'S GRACE MEDICAL STAFFING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN JEFFERSON RN, BSN (OWNER)
(501) 349-7827
Entity
Organization
Contact information
Practice address
9110 GEYER SPRINGS RD, LITTLE ROCK, AR 72209-6425
(501) 443-3170
Mailing address
9110 GEYER SPRINGS RD, LITTLE ROCK, AR 72209-6425
(501) 443-3170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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