Grace Excellency Care

NPI #1851058135 in Vauxhall, New Jersey

Provider Information

NPI Number
1851058135
Entity Type
Organization
Organization Name
Grace Excellency Care
Subpart
Yes (part of a larger organization)
Parent Organization
GRACE EXCELLENCY CARE
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Nov 22, 2021
Last Updated
Nov 22, 2021

Practice Location

Address
837 VALLEY ST APT C
ZIP Code
07088-1257
Phone
(973) 313-1700

Authorized Official

Name
GRACE MODUPE OLAGBEGI
Title
EXECUTIVE DIRECTOR
Phone
(973) 313-1700

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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