# HOUSE OF GRACE HOME CARE, LLC

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

## Provider details

- **NPI number:** 1194420729
- **Authorized official:** ANTOINE HARFOUCHE (OWNER)
- **Authorized official phone:** (925) 691-6000

## Contact information

- **Practice address:** 5112 GOLETA CT, ANTIOCH, CA 94531-8300
- **Practice address phone:** (925) 691-6000
- **Mailing address:** PO BOX 30303, WALNUT CREEK, CA 94598-9303
- **Mailing address phone:** (925) 691-6000

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2023
- **Last updated:** 04/17/2023