| A Place For Grace, Llc | |
|
413 Historic 66 W Waynesville MO 65583 | |
| (573) 774-4198 | |
| (573) 774-4951 |
| Full Name | A Place For Grace, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 413 Historic 66 W, Waynesville, Missouri |
| Authorized Official Name and Position | Linda Fritchey (OWNER) |
| Authorized Official Contact | 5737744198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place For Grace, Llc 413 Historic 66 W Waynesville MO 65583 Ph: (573) 774-4198 | A Place For Grace, Llc 413 Historic 66 W Waynesville MO 65583 Ph: (573) 774-4198 |
| NPI Number | 1902094741 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902094741 | NPI | - | NPPES |
| 504449208 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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