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Grace Home Respiratory Inc

Grace Home Respiratory Inc is a health care provider in Altoona, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 2204 N Hillcrest Pkwy, Suite #2, Altoona, WI 54720-2626, US
Practice Location Phone715-832-7377
Practice Location Fax715-832-7031
Legal Business NameGRACE HOME RESPIRATORY INC
NPI ?1548249899
Entity TypeOrganization
Enumeration Date ? Jan 14, 2006
Last Update Date ? Dec 29, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Grace Home Respiratory Inc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies 004-00002711120-01Wisconsin

legacy-id-icon Legacy Provider IDs of Grace Home Respiratory Inc

Provider IdIssuer StateIssuer TypeIssuer
41704400WisconsinMedicaid

official-icon Authorized Official of Grace Home Respiratory Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Grace Home Respiratory Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Charles Willis Racliff (R.R.T.)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number715-832-7377