# GRACE REGIONAL MEDICAL CARE L.L.C.

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

## Provider details

- **NPI number:** 1194077065
- **Authorized official:** MS. CHACON DRAKEFORD RN (CEO)
- **Authorized official phone:** (757) 502-3402

## Contact information

- **Practice address:** 409 TAPESTRY PARK DR, UNIT 826, CHESAPEAKE, VA 23320-5060
- **Practice address phone:** (757) 502-3402
- **Mailing address:** PO BOX 1507, CHESAPEAKE, VA 23327-1507
- **Mailing address phone:** (757) 502-3402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 0001212360 | VA | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012