Individual ProviderGabrielle GraceSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3283 122nd Ave, Allegan, MI 49010-9590(269) 257-1604(616) 828-9670PECOS EnrollmentBased on the most recent information from CMS, provider Gabrielle Grace does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1649900689Provider TypeIndividualFull NameGrace, GabrielleCredentialLLMSWGenderFemaleSole ProprietorYesEnumeration Date6/13/2022Last Updated6/13/2022Contact InformationPractice LocationPractice Address3283 122nd Ave, Allegan, MI 49010-9590Phone(269) 257-1604FaxUnlisted FaxMailing LocationMailing Address344 Haymac Dr, Kalamazoo, MI 49004-1770Phone(616) 828-9670FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6851114577Michigan