# GRACIOUS COMPANIONS LLC

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

## Provider details

- **NPI number:** 1437881307
- **Authorized official:** TEQUASIA WATTS (OWNER/CEO)
- **Authorized official phone:** (678) 637-9984

## Contact information

- **Practice address:** 1407 ADAMS ST, DOUGLAS, GA 31533-1217
- **Practice address phone:** (678) 637-9984
- **Mailing address:** 1407 ADAMS ST, DOUGLAS, GA 31533-1217
- **Mailing address phone:** (678) 637-9984

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 06/28/2022