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General NPI Number Information
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NPI Number | 1497613715
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Entity Type | Organization
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Legal Business Name | GRACEY GRACE HOMES LLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 4852 ORLEANS CT APT D
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-8826
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Country | US
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Telephone | 561-767-2726
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Fax |
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Provider Business Mailing Address
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Address Line | 4780 ORLEANS CT APT C
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-8817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESS EWALD
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Credential |
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Telephone | 561-767-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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