Grace Healthcare Services, LLC
NPI #1174669568 in Mc Leansboro, Illinois
Provider Information
- NPI Number
- 1174669568
- Entity Type
- Organization
- Organization Name
- Grace Healthcare Services, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 104 E MARKET ST
- City
- Mc Leansboro
- State
- Illinois
- ZIP Code
- 62859-1317
- Phone
- (618) 643-3051
Authorized Official
- Name
- MRS. RENE L TROTTER, FNP
- Title
- OFFICER
- Phone
- (618) 643-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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