# GRACE HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRACE HEALTHCARE SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093113805
- **Legal business name:** GRACE HEALTHCARE SERVICES LLC
- **Authorized official:** BASSEY EKANEM (MANAGING PARTNER)
- **Authorized official phone:** (703) 447-7584

## Contact information

- **Practice address:** 3519 PELHAM RD, SUITE 104, GREENVILLE, SC 29615-4181
- **Practice address phone:** (864) 438-2635
- **Mailing address:** 3519 PELHAM RD, SUITE 104, GREENVILLE, SC 29615-4181
- **Mailing address phone:** (864) 438-2635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1406110221 | SC | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 12/10/2014