# GRACEFUL IN HOME CARE, LLC

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

## Provider details

- **NPI number:** 1396492237
- **Authorized official:** CAROL L JOHNSON (OWNER)
- **Authorized official phone:** (803) 476-2108

## Contact information

- **Practice address:** 919 TRUE ST UNIT E2, COLUMBIA, SC 29209-1662
- **Practice address phone:** (803) 451-0152
- **Practice address fax:** (803) 451-0073
- **Mailing address:** 919 TRUE ST UNIT E2, COLUMBIA, SC 29209-1662
- **Mailing address phone:** (803) 451-0152
- **Mailing address fax:** (803) 451-0073

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022