Provider Demographics
NPI:1336327014
Name:THE GRACE PROJECT LLC
Entity Type:Organization
Organization Name:THE GRACE PROJECT LLC
Other - Org Name:BRIGHTSTAR HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-870-6700
Mailing Address - Street 1:1915 N DALE MABRY HWY
Mailing Address - Street 2:#406
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-2550
Mailing Address - Country:US
Mailing Address - Phone:813-870-6700
Mailing Address - Fax:813-870-6701
Practice Address - Street 1:1915 N DALE MABRY HWY
Practice Address - Street 2:#406
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2550
Practice Address - Country:US
Practice Address - Phone:813-870-6700
Practice Address - Fax:813-870-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health