Organization
RAY OF GRACE HEALTHCARE SERVICES LLC
Active
Organization
RAY OF GRACE HEALTHCARE SERVICES LLC
Active
Other names
Ray of Grace Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARVA DANIEL-CLEOPHAT APRN (CEO)
(786) 208-2229
Entity
Organization
Contact information
Practice address
9821 SW 3RD ST, PEMBROKE PINES, FL 33025-1064
(786) 208-2229
Mailing address
9821 SW 3RD ST, PEMBROKE PINES, FL 33025-1064
(786) 208-2229
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/30/2024
Last updated
01/22/2025
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