Organization
GRACE EXCELLENCY CARE
Active
Parent organization
GRACE EXCELLENCY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE EXCELLENCY CARE
Authorized official
GRACE MODUPE OLAGBEGI (EXECUTIVE DIRECTOR)
(973) 313-1700
Entity
Organization
Contact information
Practice address
303 HUGUENOT AVE, UNION, NJ 07083-7508
(973) 313-1700
(973) 313-2300
Mailing address
2066 MILLBURN AVE STE 102, MAPLEWOOD, NJ 07040-3722
(973) 313-1700
(973) 313-2300
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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