GRACE DIVINE, LLC

INDIANAPOLIS, IN
NPI1548596372
Doing Business AsGRACE AT HOME, PRIMARY CARE HOUSE CALLS
Entity TypeOrganization
Authorized ContactTAMMY M CRACE BROWNING
President
317-429-0120
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
(Licence: KY  38836)
Enumeration Date2009-10-29
Last Update Date2016-04-18
Business Address
GRACE DIVINE, LLC
5256 E 65TH ST
INDIANAPOLIS, IN 46220-4819
Phone number: 317-429-0120
Mailing Address
GRACE DIVINE, LLC
PO BOX 503108
INDIANAPOLIS, IN 46250-8108
Phone number: 317-429-0120