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Organization
GENTLE GRACE HOME CARE LLC
Active
Organization
GENTLE GRACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORIAN OBRIEN SHAW SR. (OWNER)
(252) 333-2514
Entity
Organization
Contact information
Practice address
905 HALSTEAD BLVD STE 26D, ELIZABETH CITY, NC 27909-6816
(252) 333-2514
Mailing address
100 FANNIE DR, ELIZABETH CITY, NC 27909-7009
(252) 333-2514
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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