# GRACEFUL HEALING HOME CARE LLC

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

## Provider details

- **NPI number:** 1104608611
- **Authorized official:** DANA BOATWRIGHT (ADMINISTRATOR)
- **Authorized official phone:** (800) 494-1393

## Contact information

- **Practice address:** 160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
- **Practice address phone:** (800) 494-1393
- **Mailing address:** 231 WINDERMERE DR, LOGANVILLE, GA 30052-4649
- **Mailing address phone:** (800) 494-1393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2023
- **Last updated:** 12/05/2023