Healthcare Provider Details

I. General information

NPI: 1962323477
Provider Name (Legal Business Name): NU GRACE FAMILY CARE EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 ARROWHEAD BLVD STE 100
JONESBORO GA
30236-1255
US

IV. Provider business mailing address

409 ARROWHEAD BLVD STE 100
JONESBORO GA
30236-1255
US

V. Phone/Fax

Practice location:
  • Phone: 909-637-6520
  • Fax:
Mailing address:
  • Phone: 909-637-6520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGINA FLOYD
Title or Position: ADMINISTRATOR
Credential: DNP
Phone: 909-637-6520