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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