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Organization
GRACEFUL AGING HOME CARE INC.
Active
Organization
GRACEFUL AGING HOME CARE INC.
Active
Other names
Age Advantage Senior Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT R. MEDINA (PRESIDENT)
(757) 340-3315
Entity
Organization
Contact information
Practice address
228 N LYNNHAVEN RD, SUITE 106, VIRGINIA BEACH, VA 23452-7514
(757) 340-3315
(757) 340-3317
Mailing address
228 N LYNNHAVEN RD, SUITE 106, VIRGINIA BEACH, VA 23452-7514
(757) 340-3315
(757) 340-3317
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO-151016
VA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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