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Contact Information

GRACEFUL DOVE, LLC
4521 ARTHUR KILL RD
SUITE A
STATEN ISLAND, NY10309-1315
 Phone: 718-552-5179
 Fax: 718-554-4069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for GRACEFUL DOVE, LLC

NPI # 1457721482
LBN Legal business name GRACEFUL DOVE, LLC
Authorized official VICTOR SEDAROS - (DIRECTOR OF OPERATION)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2015
Last updated 10/02/2015 - About 11 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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