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Contact Information

PRECIOUS GRACE HEALTH SERVICES LLC
500 NORTH MAIN ST.
SUITE A SECOND FL. #203
RANDOLPH, MA02368
 Phone: 617-592-9066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for PRECIOUS GRACE HEALTH SERVICES LLC

NPI # 1629704390
LBN Legal business name PRECIOUS GRACE HEALTH SERVICES LLC
Authorized official OLUMIDE ADELU - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2022
Last updated 07/26/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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