# AGING GRACE ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Caring Senior Service of South Duval County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164151726
- **Authorized official:** MELISSA ANGELES (ADMINISTRATOR)
- **Authorized official phone:** (813) 313-6460

## Contact information

- **Practice address:** 9850 SAN JOSE BLVD STE 3, JACKSONVILLE, FL 32257-5495
- **Practice address phone:** (813) 313-6460
- **Mailing address:** 858 NW SAVANNAH CIR, LAKE CITY, FL 32055-6878
- **Mailing address phone:** (813) 313-6460

## Taxonomy

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

## Other

- **Enumeration date:** 06/08/2022
- **Last updated:** 09/16/2022