Grace Supportive Living Services, Llc

LBN: Grace Personal Care Services, Llc
Grace Supportive Living Services, Llc is an health care organization with primary practice located at 3246 N Teutonia Ave , Milwaukee WI 53206-2265. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Grace Personal Care Services, Llc can be contacted via phone (414) 336-5556, or through Thornton, Lantona T via phone (414) 336-5556.

Contact Information

Primary practice address
3246 N Teutonia Ave Milwaukee WI 53206-2265
Phone: (414) 336-5556
Fax: (414) 264-4825
Website:
Map and Directions
Authorized official contact:
Name: Thornton, Lantona T Registered Nurse (RN)
Phone: (414) 336-5556

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1699072884
LBN Legal business name Grace Personal Care Services, Llc
DBA Doing business as Grace Supportive Living Services, Llc
Authorized official Thornton, Lantona T Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2011
Last updated Feb 24th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699072884 NPPES
Wisconsin MEDICAID 100011394

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