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Organization

AMAZING GRACE SUPPORTIVE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TOREY GREENE (CEO)
(919) 741-2036
Entity
Organization

Contact information

Practice address
2538 SHEPHERD VALLEY ST, RALEIGH, NC 27610-2986
(919) 741-2036
Mailing address
2538 SHEPHERD VALLEY ST, RALEIGH, NC 27610-2986

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center

Other

Enumeration date
04/07/2026
Last updated
04/07/2026
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