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Organization

GRACE CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANELL S CODY (OWNER)
(863) 585-0147
Entity
Organization

Contact information

Practice address
395 E CENTRAL AVE, WINTER HAVEN, FL 33880-3047
(863) 585-0147
(863) 875-5348
Mailing address
395 E CENTRAL AVE, WINTER HAVEN, FL 33880-3047
(863) 585-0147
(863) 875-5348

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
02/20/2016
Last updated
06/29/2023
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