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General NPI Number Information
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NPI Number | 1821817446
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Entity Type | Organization
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Legal Business Name | GRACE'S HEALTH AGENCY
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 23010 SANDALFOOT PLAZA DR
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City | BOCA RATON
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State | FL
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Zip | 33428-6654
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Country | US
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Telephone | 561-674-2031
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Fax |
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Provider Business Mailing Address
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Address Line | 23010 SANDALFOOT PLAZA DR
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City | BOCA RATON
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State | FL
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Zip | 33428-6654
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Country | US
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Telephone | 561-674-2031
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. MARIE-ALTAGRACE VANESSA GERMAIN
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Credential | NP
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Telephone | 561-674-2031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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