| NPI | 1770392367 | 
|---|---|
| Former Legal Business Name | GENTLE GRACE | 
| Entity Type | Organization | 
| Authorized Contact | JESSICA ANN CARNOTT Owner 405-517-4008 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management | 
| Enumeration Date | 2025-01-07 | 
| Last Update Date | 2025-01-07 |