| NPI | 1881474526 |
|---|---|
| Other Name | GRACEXLACE |
| Entity Type | Organization |
| Authorized Contact | ANGELICA YEVETTE STAMPS Owner 803-626-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |