# ELISHAMA CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194810044
- **Authorized official:** MS. GRACE B N DAVIS (CEO)
- **Authorized official phone:** (703) 717-0823

## Contact information

- **Practice address:** 6801 RICHMOND HWY, SUITE\#2, ALEXANDRIA, VA 22306-1705
- **Practice address phone:** (703) 717-0823
- **Practice address fax:** (703) 717-0824
- **Mailing address:** 6801 RICHMOND HWY, SUITE\#2, ALEXANDRIA, VA 22306-1705
- **Mailing address phone:** (703) 717-0823
- **Mailing address fax:** (703) 717-0824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-07380 | VA | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020