Provider Demographics
NPI:1013502178
Name:A TOUCH OF GRACE NURSING CONCIERGE
Entity Type:Organization
Organization Name:A TOUCH OF GRACE NURSING CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-943-7717
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23875-0103
Mailing Address - Country:US
Mailing Address - Phone:804-943-7717
Mailing Address - Fax:
Practice Address - Street 1:1771 HAZEL GROVE CT
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:VA
Practice Address - Zip Code:23801-1225
Practice Address - Country:US
Practice Address - Phone:201-640-6057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care