NPI 1073434205
Grace Personal Care 1 LLC
Practice location
- Address
- 10505 Boney Ave STE a, Diberville, MS 39540-2407
- Phone
- (716) 603-5850
Authorised official
- Name
- Mary J Simmons
- Title
- Owner
- Phone
- (716) 603-5850
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1073434205
- Entity type
- Organization
- NPI issued
- 23 Jul 2026
- Record last updated
- 23 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.