# GRACE AND GRATITUDE ADULT CARE LLC

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

## Provider details

- **NPI number:** 1053171363
- **Authorized official:** TERRY LARK (OWNER/OPERATOR)
- **Authorized official phone:** (313) 926-7190

## Contact information

- **Practice address:** 28128 FLANDERS AVE, WARREN, MI 48088-4314
- **Practice address phone:** (313) 926-7190
- **Mailing address:** 28128 FLANDERS AVE, WARREN, MI 48088-4314
- **Mailing address phone:** (313) 926-7190

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2024
- **Last updated:** 03/21/2024