MEDICARE: GRACE FOR ALL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1619827029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE FOR ALL LLC

Provider Business Mailing Address
First Line	:	2880 W OAKLAND PARK BLVD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1354
Country	:	US
Telephone Number	:	954-624-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 W OAKLAND PARK BLVD STE 216
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1350
Country	:	US
Telephone Number	:	954-624-2040
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAOLA KING
Credential	:
Telephone Number	:	954-624-2040

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “GRACE FOR ALL LLC ” Practice Location

Language	Start Address	Practice Location

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