NPI | 1164594099 |
---|---|
Doing Business As | GRACE AT HOME MEDICAL PRACTICE |
Entity Type | Organization |
Authorized Contact | RODNEY C ARMSTEAD President 310-418-7250 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 1850521NYS) |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family (Licence: NY F332631) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2025-06-23 |