# HIS GRACE HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1194103028
- **Authorized official:** MS. GLENDA DIANA BAILEY-WHIGHAM (OWNER)
- **Authorized official phone:** (757) 390-9174

## Contact information

- **Practice address:** 1215 FLORIDA AVE, PORTSMOUTH, VA 23707-3403
- **Practice address phone:** (757) 390-9174
- **Mailing address:** 1215 FLORIDA AVE, PORTSMOUTH, VA 23707-3403
- **Mailing address phone:** (757) 390-9174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | S5562972 | VA | Yes |

## Other

- **Enumeration date:** 05/12/2015
- **Last updated:** 05/12/2015