# MAGNOLIA GRACE HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAGNOLIA GRACE AT-HOME HEALTH LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437080066
- **Authorized official:** ESTHER NYAKARURA (ADMINISTRATOR)
- **Authorized official phone:** (470) 546-0423

## Contact information

- **Practice address:** 1102 FOX CREEK CT, WOODSTOCK, GA 30189-6895
- **Practice address phone:** (470) 546-0423
- **Practice address fax:** (770) 216-1762
- **Mailing address:** 1102 FOX CREEK CT, WOODSTOCK, GA 30189-6895
- **Mailing address phone:** (470) 546-0423
- **Mailing address fax:** (770) 216-1762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2026
- **Last updated:** 05/25/2026
