Grace
NPI #1366761124 in Pickerington, Ohio
Provider Information
- NPI Number
- 1366761124
- Entity Type
- Organization
- Organization Name
- Grace
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- May 19, 2010
- Last Updated
- May 19, 2010
Practice Location
- Address
- 8590 CRANBERRY LN
- City
- Pickerington
- State
- Ohio
- ZIP Code
- 43147-9441
- Phone
- (614) 554-6671
Authorized Official
- Name
- MS. GRACE TITILOLA LADIPO
- Title
- LICENSED PRACTICAL NURSE
- Phone
- (614) 554-6671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Residential Treatment Facility, Physical Disabilities |
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