Gracevine Healthcare Svcs A Professnal Nursing Corp

LBN: Gracevine Healthcare Svcs A Professnal Nursing Corp
Gracevine Healthcare Svcs A Professnal Nursing Corp is an health care organization with primary practice located at 473 E Carnegie Dr Ste 200 , San Bernardino CA 92408-4201. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Gracevine Healthcare Svcs A Professnal Nursing Corp can be contacted via phone (909) 743-1300, or through Daramola, Oluwayemisi via phone (909) 743-1300.

Contact Information

Primary practice address
473 E Carnegie Dr Ste 200 San Bernardino CA 92408-4201
Phone: (909) 743-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daramola, Oluwayemisi
Phone: (909) 743-1300

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1255050084
LBN Legal business name Gracevine Healthcare Svcs A Professnal Nursing Corp
DBA Doing business as
Authorized official Daramola, Oluwayemisi
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2022
Last updated Oct 2nd, 2023 - about 2 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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