# GRACEFUL LIVING HOME CARE, LLC

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

## Provider details

- **NPI number:** 1467362715
- **Authorized official:** SAM GHOSN (OWNER)
- **Authorized official phone:** (580) 248-5544

## Contact information

- **Practice address:** 6302 SW LEE BLVD STE B, LAWTON, OK 73505-9103
- **Practice address phone:** (580) 248-5544
- **Mailing address:** 6302 SW LEE BLVD STE B, LAWTON, OK 73505-9103

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2026
- **Last updated:** 09/09/2026