Provider Demographics
NPI:1548548191
Name:GRACE MEDICAL GROUP INC.
Entity type:Organization
Organization Name:GRACE MEDICAL GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:H. FRENCH
Authorized Official - Middle Name:
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:205-298-6605
Mailing Address - Street 1:3800 COLONNADE PKWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2304
Mailing Address - Country:US
Mailing Address - Phone:205-298-6605
Mailing Address - Fax:205-298-6606
Practice Address - Street 1:3800 COLONNADE PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2304
Practice Address - Country:US
Practice Address - Phone:205-298-6605
Practice Address - Fax:205-298-6606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health