Organization
GRACE MOBILE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUNTELL THOMPSON (OWNER)
(601) 913-0332
Entity
Organization
Contact information
Practice address
855 S PEAR ORCHARD RD STE 305, RIDGELAND, MS 39157-5114
(769) 300-0084
(601) 707-5486
Mailing address
855 S PEAR ORCHARD RD STE 305, RIDGELAND, MS 39157-5114
(769) 300-0084
(601) 707-5486
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
07/18/2022
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