| NPI | 1518555168 |
|---|---|
| Doing Business As | GRACE HEALTH LEVI CENTER CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STANLEY C.E.O. 606-526-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-06-28 |