Beautifully Graced Llc

LBN: Beautifully Graced Llc
Beautifully Graced Llc is an health care organization with primary practice located at 2155 Palm Bay Rd Ne Ste 7 , Palm Bay FL 32905-2907. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Beautifully Graced Llc can be contacted via phone (321) 220-0862, or through Jernighan, Stephanie Denise via phone (321) 220-0862.

Contact Information

Primary practice address
2155 Palm Bay Rd Ne Ste 7 Palm Bay FL 32905-2907
Phone: (321) 220-0862
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jernighan, Stephanie Denise
Phone: (321) 220-0862

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1811617863
LBN Legal business name Beautifully Graced Llc
DBA Doing business as
Authorized official Jernighan, Stephanie Denise
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2022
Last updated Jan 11th, 2024 - about last year

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 1811617863 NPPES
Florida Other CL1284556 COSMETOLOGY LICENSE

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