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Organization
GRACEFUL CARE AGENCY
Active
Organization
GRACEFUL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE N KANBI LPN (CO-OWNER)
(513) 777-2338
Entity
Organization
Contact information
Practice address
8899 BROOKSIDE AVE, SUITE 204, WEST CHESTER, OH 45069-7112
(513) 777-2338
Mailing address
8899 BROOKSIDE AVE, SUITE 204, WEST CHESTER, OH 45069-7112
(513) 777-2338
(513) 777-0208
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084767
—
OH
Enumeration date
03/15/2013
Last updated
09/03/2015
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