| Grace N Mercy Support Services Llc | |
|
4206 Southern Pkwy # 1a Louisville KY 40214-1650 | |
| (502) 365-2216 | |
| (502) 749-0055 |
| Full Name | Grace N Mercy Support Services Llc |
|---|---|
| Speciality | Peer Specialist |
| Location | 4206 Southern Pkwy # 1a, Louisville, Kentucky |
| Authorized Official Name and Position | April Roann Robertson (OWNER/ PEER SUPPORT) |
| Authorized Official Contact | 2703006819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace N Mercy Support Services Llc 4206 Southern Pkwy # 1a Louisville KY 40214-1650 Ph: (502) 365-2216 | Grace N Mercy Support Services Llc 4206 Southern Pkwy # 1a Louisville KY 40214-1650 Ph: (502) 365-2216 |
| NPI Number | 1790387074 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790387074 | NPI | - | NPPES |
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