State Of Grace

LBN: State Of Grace
State Of Grace is an health care organization with primary practice located at 720 N Main St Ste 330 , Pueblo CO 81003-3047. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. State Of Grace can be contacted via phone (719) 569-7909, or through Maes, Robert Richard via phone (719) 240-1799.

Contact Information

Primary practice address
720 N Main St Ste 330 Pueblo CO 81003-3047
Phone: (719) 569-7909
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maes, Robert Richard CAC III
Phone: (719) 240-1799

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1727-01 Colorado

Profile Details

NPI number 1164775250
LBN Legal business name State Of Grace
DBA Doing business as
Authorized official Maes, Robert Richard CAC III
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2012
Last updated Apr 15th, 2021 - about 3 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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