Organization
GRACE AND MERCY HEALTHCARE SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO PIERRE BLUE (PRESIDENT)
(910) 223-7334
Entity
Organization
Contact information
Practice address
1133 PADDINGTON PL, FAYETTEVILLE, NC 28314-6305
(910) 223-7334
Mailing address
1133 PADDINGTON PL, FAYETTEVILLE, NC 28314-6305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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