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General NPI Number Information
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NPI Number | 1396678363
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Entity Type | Organization
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Legal Business Name | PREVAILING GRACE LLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 292 E FALMOUTH RD
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City | FALMOUTH
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State | MI
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Zip | 49632-8701
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Country | US
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Telephone | 231-826-0020
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Fax | 231-826-0028
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Provider Business Mailing Address
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Address Line | 292 E FALMOUTH RD
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City | FALMOUTH
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State | MI
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Zip | 49632-8701
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Country | US
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Telephone | 231-826-0020
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Fax | 231-826-0028
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Authorized Official
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Title or Position | OWNER/LICENSEE
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Name | TAWNYA MARIE EBELS
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Credential | REGISTERED NURSE
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Telephone | 231-878-1828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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