| Precious Grace Health Services Llc | |
|
500 North Main St. Suite A Second Fl. #203 Randolph MA 02368 | |
| (617) 592-9066 | |
| Not Available |
| Full Name | Precious Grace Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 North Main St., Randolph, Massachusetts |
| Authorized Official Name and Position | Olumide Adelu (CEO) |
| Authorized Official Contact | 6175929066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Precious Grace Health Services Llc Po Box 5 Randolph MA 02368-0005 Ph: () - | Precious Grace Health Services Llc 500 North Main St. Suite A Second Fl. #203 Randolph MA 02368 Ph: (617) 592-9066 |
| NPI Number | 1629704390 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629704390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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