EXCELSIOR GRACE LLC

PLAINFIELD, NJ
NPI1649149238
Entity TypeOrganization
Authorized ContactOLUWABUNMI OMOTAYO
Owner
347-302-1212
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2025-11-01
Last Update Date2025-11-04
Business Address
EXCELSIOR GRACE LLC
959 W 4TH ST
PLAINFIELD, NJ 07063-1372
Phone number: 347-302-1212
Mailing Address
EXCELSIOR GRACE LLC
959 W 4TH ST
PLAINFIELD, NJ 07063-1372
Phone number: 347-302-1212