# GRACEFUL HANDS PERSONAL CARE AGENCY LLC

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

## Provider details

- **NPI number:** 1104387364
- **Authorized official:** MARSHA LYNN JONES (ADMINSTRATOR)
- **Authorized official phone:** (262) 583-1660

## Contact information

- **Practice address:** 1700 WESTLAWN AVE, RACINE, WI 53405-3878
- **Practice address phone:** (262) 583-1660
- **Practice address fax:** (262) 770-3150
- **Mailing address:** 3054 ERIE ST, RACINE, WI 53402-4037
- **Mailing address phone:** (262) 902-4147

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 03/28/2019