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HEALING GRACE WELLNESS, INC.

Company Details

Entity Name: HEALING GRACE WELLNESS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Jul 2024 (7 months ago)
Document Number: P24000044762
Address: 8775 SE 57TH DRIVE, OKEECHOBEE, FL, 34974
Mail Address: 8775 SE 57TH DRIVE, OKEECHOBEE, FL, 34974
ZIP code: 34974
County: Okeechobee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538995311 2024-09-10 2024-09-10 8775 SE 57TH DR, OKEECHOBEE, FL, 349741752, US 8775 SE 57TH DR, OKEECHOBEE, FL, 349741752, US

Contacts

Phone +1 863-447-7378

Authorized person

Name MARIA GRACE BOONE
Role OWNER
Phone 8634477378

Taxonomy

Taxonomy Code 207QA0505X - Adult Medicine Physician
Is Primary Yes

Agent

Name Role Address
BOONE MARIA G Agent 8775 SE 57TH DRIVE, OKEECHOBEE, FL, 34974

President

Name Role Address
BOONE MARIA G President 8775 SE 57TH DRIVE, OKEECHOBEE, FL, 34974

Documents

Name Date
Domestic Profit 2024-07-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State