NPI | 1891542759 |
---|---|
Doing Business As | RAY OF GRACE HEALTHCARE SERVICES LLC |
Entity Type | Organization |
Authorized Contact | MARVA DANIEL-CLEOPHAT CEO 786-208-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 251S00000X |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2024-04-30 |
Last Update Date | 2024-09-06 |