Gracious Life, Llc

NPI 1093073983 - Voluntary or Charitable - 251V00000X

NPI Details
NPI 1093073983
Enumeration Date 04/27/2012
Last Updated 04/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SILVIA SILVIA
Position OWNER
Phone (216) 894-1566
Fax
Practice Location
1500 DETROIT AVE
319
CLEVELAND OH, 44113-2444, US
Phone (216) 894-1566
Fax
Business Location
1500 DETROIT AVE
319
CLEVELAND OH, 44113-2444, US
Phone
Fax
Toxanomy
Taxonomy Code 251V00000X
License State
License Number
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According to our database, Gracious Life, Llc NPI is 1093073983, taxonomy code is 251V00000X Gracious Life, Llc physically located at 1500 Detroit Ave, Cleveland OH, 44113-2444. NPI Number 1033115704 has the healthcare provider type.

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1093073983 NPI number is provided on an as is basis without warranty of any kind. 1093073983 is maintained by the National Plan & Provider Enumeration System. The contents of Gracious Life, Llc are for informational purposes only.