GRACE INDEPENDENT LIVING STORE, LLC

RIDGELAND, MS
NPI1417450891
Entity TypeOrganization
Authorized ContactJUNE M ALFORD
C.E.O./Owner
601-260-6674
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: MS  16852.11.1)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2018-03-13
Last Update Date2018-03-13
Business Address
GRACE INDEPENDENT LIVING STORE, LLC
655 LAKE HARBOUR DR STE 1100
RIDGELAND, MS 39157-4360
Phone number: 601-499-5350
Mailing Address
GRACE INDEPENDENT LIVING STORE, LLC
PO BOX 1140
RIDGELAND, MS 39158-1140
Phone number: 601-499-5350