# C & A W (SC) LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Home Care & Behavioral Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124598503
- **Authorized official:** KANDICE WILLIAMS (MANAGER)
- **Authorized official phone:** (678) 887-2991

## Contact information

- **Practice address:** 2553 OLD COVINGTON RD NE, CONYERS, GA 30013-1413
- **Practice address phone:** (678) 887-2991
- **Mailing address:** 2553 OLD COVINGTON RD NE, CONYERS, GA 30013-1413
- **Mailing address phone:** (678) 887-2991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 11/28/2018
- **Last updated:** 11/28/2018