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Contact Information

GRACE, COMMUNITY SUPPORTED LIVING SERVICES
4421 MORMON COULEE RD STE C
LA CROSSE, WI54601-8220
 Phone: 608-963-4357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for GRACE, COMMUNITY SUPPORTED LIVING SERVICES

NPI # 1831854470
LBN Legal business name GRACE, COMMUNITY SUPPORTED LIVING SERVICES
Authorized official GWEN PARR - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2021
Last updated 11/08/2021 - About 5 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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