Grace Path LLC
Organization Active NPI Parenteral & Enteral Nutrition Supplies (DME) · Wesley, AR
NPI 1679313225 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1679313225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
- Legal business name
- GRACE PATH LLC
- Practice address
- 12195 Elk RDG
Wesley, AR 72773-9109 - Phone
- (479) 225-3505
- NPI assigned
- May 30, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Jennifer Bowen, RN
- Title
- Owner
- Phone
- (918) 575-4849
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Yes |
Addresses
Primary practice location
12195 Elk RDG
Wesley, AR 72773-9109
Mailing address
12195 Elk RDG
Wesley, AR 72773-9109
Phone (479) 225-3505
Other providers in Wesley, AR
All providers in Wesley, AR · Parenteral & Enteral Nutrition Supplies (DME) in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.