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General NPI Number Information
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NPI Number | 1982764262
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Entity Type | Organization
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Legal Business Name | GRACE HEALTH CARE SERVICES INC.
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7308 WORSHAM DR
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City | RALEIGH
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State | NC
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Zip | 27616-8366
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Country | US
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Telephone | 919-217-8243
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Fax | 919-266-0755
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Provider Business Mailing Address
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Address Line | 7308 WORSHAM DR
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City | RALEIGH
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State | NC
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Zip | 27616-8366
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Country | US
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Telephone | 919-217-8243
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Fax | 919-266-0755
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ONUOHA ONWUKA CHUKU
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Credential |
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Telephone | 919-217-8243
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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 | HC3462
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC3462
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License Number State | NC
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