Grace Reliant Health Services, Llc

NPI 1013266436 - Home Health - 251E00000X

NPI Details
NPI 1013266436
Enumeration Date 08/30/2012
Last Updated 05/18/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SUSAN K SUSAN
Position MEMBER PARTNER
Phone (573) 204-9200
Fax (573) 243-7743
Practice Location
510 W MAIN ST
JACKSON MO, 63755-1741, US
Phone (573) 204-9200
Fax (573) 243-7743
Business Location
510 W MAIN ST
JACKSON MO, 63755-1741, US
Phone (573) 204-9200
Fax (573) 243-7743
Toxanomy
Taxonomy Code 251E00000X
License State Missouri
License Number 861-HH
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According to our database, Grace Reliant Health Services, Llc NPI is 1013266436, taxonomy code is 251E00000X and license number is 861-HH, license state is located at Missouri. Grace Reliant Health Services, Llc physically located at 510 W Main St, Jackson MO, 63755-1741. NPI Number 1033115704 has the healthcare provider type.

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1013266436 NPI number is provided on an as is basis without warranty of any kind. 1013266436 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Reliant Health Services, Llc are for informational purposes only.