# LOVING GRACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053054809
- **Authorized official:** FAYSHAWN JULIEN RN (RN/ OWNER)
- **Authorized official phone:** (803) 464-1548

## Contact information

- **Practice address:** 2605 STIRRUP LN, DALZELL, SC 29040-9412
- **Practice address phone:** (803) 494-7724
- **Mailing address:** 2605 STIRRUP LN, DALZELL, SC 29040-9412
- **Mailing address phone:** (803) 494-7724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2022
- **Last updated:** 04/19/2022