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Organization
AGING GRACE LLC
Active
Organization
AGING GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L DEJESUS (CEO)
(216) 203-0429
Entity
Organization
Contact information
Practice address
3837 WOODRIDGE RD, CLEVELAND HEIGHTS, OH 44121-1815
(216) 203-0429
Mailing address
3837 WOODRIDGE RD, CLEVELAND HEIGHTS, OH 44121-1815
(216) 203-0428
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/22/2021
Last updated
07/01/2022
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