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Organization
AGING GRACEFUL CARE LLC
Active
Organization
AGING GRACEFUL CARE LLC
Active
Other names
Aging Graceful Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOSHA COBB PTA,LMT (OWNER/DIRECTOR)
(217) 454-9645
Entity
Organization
Contact information
Practice address
5160 HICKORY POINT FRONTAGE RD, DECATUR, IL 62526-9778
(217) 247-3120
Mailing address
2610 S FORREST GREEN DR, DECATUR, IL 62521-5411
(217) 454-9645
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
01/06/2024
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