Grace Services, Llc

NPI 1013336627 - Registered Nurse - 163WP0808X

NPI Details
NPI 1013336627
Enumeration Date 04/10/2014
Last Updated 04/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GORDON E GORDON
Position OWNER
Phone (423) 283-4958
Fax (423) 283-7135
Practice Location
2 WORTH CIR
SUITE 2
JOHNSON CITY TN, 37601-4306, US
Phone (423) 283-4958
Fax (423) 283-7135
Business Location
2 WORTH CIR
SUITE 2
JOHNSON CITY TN, 37601-4306, US
Phone (423) 283-4958
Fax (423) 283-7135
Toxanomy
Taxonomy Code 163WP0808X
License State Tennessee
License Number 11054
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According to our database, Grace Services, Llc NPI is 1013336627, taxonomy code is 163WP0808X and license number is 11054, license state is located at Tennessee. Grace Services, Llc physically located at 2 Worth Cir, Johnson City TN, 37601-4306. NPI Number 1033115704 has the healthcare provider type.

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1013336627 NPI number is provided on an as is basis without warranty of any kind. 1013336627 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Services, Llc are for informational purposes only.