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1174369862
HOME OF GRACE NC LLC
GASTONIA, NC
NPI
1174369862
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Entity Type
Organization
Authorized Contact
RENEA CHURCH
Mrs
757-779-4593
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2024-07-02
Last Update Date
2024-07-05
Business Address
HOME OF GRACE NC LLC
2501 LYON ST
GASTONIA, NC 28052-6251
Phone number: 757-779-4593
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Mailing Address
HOME OF GRACE NC LLC
301 S MCDOWELL ST STE 125-1745
CHARLOTTE, NC 28204-2623
Phone number: 757-779-4593
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