NPI:
1902121809
Provider Name:
GRACE HEALTHCARE SERVICES INC
Former Legal Business Name: MCDOUGLE PERSONAL CARE HOME INC
Classification:
Respite Care - 385HR2060X
Entity Type:
Organization
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Address:
1010 SLATER STREET
VALDOSTA, GA
ZIP 31601
Phone:
(229) 469-4052
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GRACE HEALTHCARE SERVICES INC is a respite care and mental retardation and/or developmental disabilities respite care in Valdosta, GA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. GRACE HEALTHCARE SERVICES INC NPI is 1902121809. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mcdougle Personal Care Home Inc.
The provider's business location address is:
1010 SLATER STREET
VALDOSTA, GA
ZIP 31601
Phone: (229) 469-4052
Fax: (229) 588-4039
The provider's authorized official is Cynthia E Mcdougle .
The authorized official title is Ceo and has the following contact phone number (229) 269-8880.
The enumeration date for this NPI number is 4/2/2010 and was last updated on 1/10/2019.