# GRACIOUS HOME HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1417412453
- **Authorized official:** MRS. ESTHER AGBONMA EWEH RN BSN (DIRECTOR OF NURSING)
- **Authorized official phone:** (908) 810-1044

## Contact information

- **Practice address:** 2165 MORRIS AVE STE 19, UNION, NJ 07083-5913
- **Practice address phone:** (908) 810-1044
- **Practice address fax:** (908) 810-1077
- **Mailing address:** 1514 ROSE TER, UNION, NJ 07083-4726
- **Mailing address phone:** (908) 810-1044
- **Mailing address fax:** (908) 810-1077

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 02/04/2019