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Contact Information

GRACE HEALTHCARE SERVICES INC
1010 SLATER STREET
VALDOSTA, GA31601
 Phone: 229-469-4052
 Fax: 229-588-4039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

385HR2060X
Indicates primary specialty

NPI Profile & details for GRACE HEALTHCARE SERVICES INC

NPI Number 1902121809
LBN Legal business name GRACE HEALTHCARE SERVICES INC
Authorized official CYNTHIA MCDOUGLE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2010
Last updated 01/10/2019 - About 7 years ago
Identifiers
GA License # 372083530A
GA Other 092-01-106-1 PERSONAL CARE PERMIT NO
GA Other 372083530A PROVIDER ID NUMBER
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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