Organization
GRACE EXCEL HEALTH CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIANE FLORA DICOUM REGISTERED NURSE (CEO)
(240) 765-4918
Entity
Organization
Contact information
Practice address
340 MAIN ST, SUITE 817, WORCESTER, MA 01608-1604
(240) 765-4918
Mailing address
340 MAIN ST, SUITE 817, WORCESTER, MA 01608-1604
(240) 765-4918
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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