MEDICARE: GRACE HOME AND LIFE SOLUTIONS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1083051403
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE HOME AND LIFE SOLUTIONS INC.

Provider Business Mailing Address
First Line	:	1712 MILITARY ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-5935
Country	:	US
Telephone Number	:	810-985-4457
Fax Number	:	810-982-6522

Provider Business Practice Location Address
First Line	:	1712 MILITARY ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-5935
Country	:	US
Telephone Number	:	810-985-4457
Fax Number	:	810-982-6522

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KARL M SCHINDLER
Credential	:
Telephone Number	:	810-985-4457

Provider Enumeration Date	:	05/24/2013
Last Update Date	:	05/24/2013

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Directions to “GRACE HOME AND LIFE SOLUTIONS INC. ” Practice Location

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