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Contact Information

GRACELAND STUDENT SERVICES LLC
610 FAIRVIEW AVE.
WILSON, NC27893
 Phone: 919-593-7324
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Developmental Therapist

222Q00000X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for GRACELAND STUDENT SERVICES LLC

NPI # 1245847524
LBN Legal business name GRACELAND STUDENT SERVICES LLC
Authorized official KRYSTLE JOHNSON - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2020
Last updated 08/07/2024 - More than a year 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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