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Organization
GRACIOUS HOME CARE LLC
Active
Organization
GRACIOUS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE BANGALIE RN (CEO)
(678) 727-3664
Entity
Organization
Contact information
Practice address
5943 BOBBIN LN, LITHONIA, GA 30058-5447
(678) 727-3664
Mailing address
6361 DESHONG DR, LITHONIA, GA 30058-6117
(678) 727-3664
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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