# GRACEFULLY AGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRACEFULLY AGING LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174088827
- **Legal business name:** GRACEFULLY AGING LLC
- **Authorized official:** NAKIA STARKER (MANAGER)
- **Authorized official phone:** (407) 844-5840

## Contact information

- **Practice address:** 1837 LOCHSHYRE LOOP, OCOEE, FL 34761-9160
- **Practice address phone:** (407) 744-9043
- **Mailing address:** 1837 LOCHSHYRE LOOP, OCOEE, FL 34761-9160
- **Mailing address phone:** (407) 744-9043

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 06/02/2021