# GRACE PEDIATRIC HOME CARE LLC

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

## Provider details

- **NPI number:** 1356035414
- **Authorized official:** QUINCY YOUNG ((ADMINISTRATOR))
- **Authorized official phone:** (423) 309-4149

## Contact information

- **Practice address:** 6050 PEACHTREE PKWY STE 240-225, NORCROSS, GA 30092-3336
- **Practice address phone:** (423) 309-4149
- **Mailing address:** 6050 PEACHTREE PKWY STE 240-225, NORCROSS, GA 30092-3336
- **Mailing address phone:** (423) 309-4149

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2023
- **Last updated:** 06/02/2023