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1538614540
GRACE'S SUPPORT SERVICES, LLC
MASCOTTE, FL
NPI
1538614540
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Entity Type
Organization
Authorized Contact
NABUCHI ANDERSON
President
352-255-6458
Organization Subpart ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-19
Last Update Date
2016-08-19
Business Address
GRACE'S SUPPORT SERVICES, LLC
15508 WILLET CT
MASCOTTE, FL 34753-9102
Phone number: 352-255-6458
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Mailing Address
GRACE'S SUPPORT SERVICES, LLC
15508 WILLET CT
MASCOTTE, FL 34753-9102
Phone number: 352-255-6458
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