Organization
DAILY GRACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON LATIMORE TAHA CPHT (EXECUITVE DIRECTOR/OWNER)
(804) 399-9042
Entity
Organization
Contact information
Practice address
8255 HULL STREET RD, RICHMOND, VA 23235-6413
(804) 399-9042
(804) 527-2025
Mailing address
PO BOX 3382, GLEN ALLEN, VA 23058-3382
(804) 399-9042
(804) 527-2025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1392
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1392
—
VA
Enumeration date
02/23/2011
Last updated
02/23/2011
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