Organization
GRACE ANCILLARY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE MARIE CLARK DANKS (VP OF FINANCE)
(423) 308-1845
Entity
Organization
Contact information
Practice address
7201 SHALLOWFORD RD, SUITE 200, CHATTANOOGA, TN 37421-2780
(423) 308-1845
(423) 308-1848
Mailing address
7201 SHALLOWFORD RD, SUITE 200, CHATTANOOGA, TN 37421-2780
(423) 308-1845
(423) 308-1848
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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