| NPI | 1619547205 |
|---|---|
| Former Legal Business Name | LACE CONSULTING LLC |
| Entity Type | Organization |
| Authorized Contact | MAKIESHA GAFFORD Certified Professional Coder 313-600-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |