Grace Services, LLC
NPI #1013336627 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1013336627
- Entity Type
- Organization
- Organization Name
- Grace Services, LLC
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Enumeration Date
- Apr 10, 2014
- Last Updated
- Apr 10, 2014
Practice Location
- Address
- 2 WORTH CIR
- Address 2
- SUITE 2
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-4306
- Phone
- (423) 283-4958
Authorized Official
- Name
- MR. GORDON E COBURN, APRN-BC
- Title
- OWNER
- Phone
- (423) 283-4958
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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| MR. Wayne Rock, RN | |
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| Tami Joy Pankey, RN | |
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