| Graceful Beginnings Llc | |
|
76 Whitesville Rd Jackson NJ 08527-5115 | |
| (848) 285-9830 | |
| Not Available |
| Full Name | Graceful Beginnings Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 76 Whitesville Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Geralda Vilus (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 7324076396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Beginnings Llc 76 Whitesville Rd Jackson NJ 08527-5115 Ph: () - | Graceful Beginnings Llc 76 Whitesville Rd Jackson NJ 08527-5115 Ph: (848) 285-9830 |
| NPI Number | 1811754328 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 03/09/2024 |
| Certification Date | 03/09/2024 |
| Medicare PECOS PAC ID | 5890136741 |
|---|---|
| Medicare Enrollment ID | O20240509003513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811754328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Geralda Vilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407201627 PECOS PAC ID: 8325337710 Enrollment ID: I20160525002398 |
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