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1376190025
C&G'S GRACE PLACE LLC
LAKELAND, FL
NPI
1376190025
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Entity Type
Organization
Authorized Contact
LATESHA GASKIKNS
Owner
813-468-5303
Organization Subpart ?
No
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
C&G'S GRACE PLACE LLC
6763 KRENSON OAKS CIR
LAKELAND, FL 33810-2157
Phone number: 813-468-5303
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Mailing Address
C&G'S GRACE PLACE LLC
6763 KRENSON OAKS CIR
LAKELAND, FL 33810-2157
Phone number: 813-468-5303
Copy
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