NPI 1225643398
Southern Grace
Practice location
- Address
- 11066 Birch Hollow Way, Peyton, CO 80831-5036
- Phone
- (719) 459-9457
Authorised official
- Name
- Christopher Lamont Blount
- Title
- Ceo
- Phone
- (719) 459-9457
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1225643398
- Entity type
- Organization
- NPI issued
- 14 Sep 2020
- Record last updated
- 14 Sep 2020
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.