| Grace Home Based Health Services | |
|
1351 Beacon Cir Wellington FL 33414-3153 | |
| (561) 275-0398 | |
| Not Available |
| Full Name | Grace Home Based Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1351 Beacon Cir, Wellington, Florida |
| Authorized Official Name and Position | Yolette Romelus (OWNER/ CEO) |
| Authorized Official Contact | 5612750398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Home Based Health Services 1351 Beacon Cir Wellington FL 33414-3153 Ph: (561) 275-0398 | Grace Home Based Health Services 1351 Beacon Cir Wellington FL 33414-3153 Ph: (561) 275-0398 |
| NPI Number | 1629667795 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Medicare PECOS PAC ID | 8921415068 |
|---|---|
| Medicare Enrollment ID | O20210407002164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629667795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Yolette A Romelus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215447347 PECOS PAC ID: 1658792338 Enrollment ID: I20200604002038 |
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