National Provider Identifier Database

GRACE HEALTHCARE SERVICES INC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

GRACE HEALTHCARE SERVICES INC
1010 SLATER STREET
VALDOSTA, GA31601
Phone: 229-469-4052
Fax: 229-588-4039
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for GRACE HEALTHCARE SERVICES INC

NPI Number 1902121809
Legal business name
LBN
GRACE HEALTHCARE SERVICES INC
Authorized official CYNTHIA MCDOUGLE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/02/2010
Last updated 01/10/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 372083530A
  • GA Other: 092-01-106-1 PERSONAL CARE PERMIT NO
  • GA Other: 372083530A PROVIDER ID NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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