Healthcare Provider Details

I. General information

NPI: 1316850746
Provider Name (Legal Business Name): GRACE CHAPEL CHRISTIAN CHURCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2499 JEFFERSON DAVIS HWY
SANFORD NC
27332-7104
US

IV. Provider business mailing address

2601 JEFFERSON DAVIS HWY
SANFORD NC
27332-7108
US

V. Phone/Fax

Practice location:
  • Phone: 919-774-4415
  • Fax: 919-718-6777
Mailing address:
  • Phone: 919-774-4415
  • Fax: 919-718-6777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA JO MARKS
Title or Position: DIRECTOR OF RELATED SERVICES
Credential: CCC-SLP
Phone: 919-774-4415