# GRACIE HOME HEALTH CARE, INC

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

## Provider details

- **NPI number:** 1205117116
- **Authorized official:** CYNTHIA ODEH (PRESIDENT)
- **Authorized official phone:** (908) 316-5108

## Contact information

- **Practice address:** 2069 MORRISON AVE, UNION, NJ 07083-5365
- **Practice address phone:** (908) 316-5108
- **Practice address fax:** (973) 486-9396
- **Mailing address:** 2069 MORRISON AVE, UNION, NJ 07083-5365
- **Mailing address phone:** (908) 316-5108
- **Mailing address fax:** (973) 486-9396

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 09/06/2011