Provider Demographics
NPI:1225351315
Name:SAVING GRACE LLC
Entity Type:Organization
Organization Name:SAVING GRACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-433-9997
Mailing Address - Street 1:300 N MAYO TRL STE 7
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-1563
Mailing Address - Country:US
Mailing Address - Phone:606-433-9997
Mailing Address - Fax:
Practice Address - Street 1:300 N MAYO TRL STE 7
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1563
Practice Address - Country:US
Practice Address - Phone:606-433-9997
Practice Address - Fax:606-766-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6429280001Medicare NSC