# GRACE IN-HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GIHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376787051
- **Authorized official:** MR. DANNY EARL MONTGOMERY BS (PARTNER/MANAGER)
- **Authorized official phone:** (423) 956-5206

## Contact information

- **Practice address:** 22 LEE ST, SUITE 100, BRISTOL, VA 24201-4306
- **Practice address phone:** (276) 644-9699
- **Practice address fax:** (276) 644-1487
- **Mailing address:** 22 LEE ST, SUITE 100, BRISTOL, VA 24201-4306
- **Mailing address phone:** (276) 644-9699
- **Mailing address fax:** (276) 644-1487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | HCO-09555 | VA | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 04/27/2009