# GRACE IN-HOME CARE

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

## Provider details

- **NPI number:** 1508394263
- **Authorized official:** CAPETU GUKISUVA SAUVOU (OWNER)
- **Authorized official phone:** (707) 799-0404

## Contact information

- **Practice address:** 125 CALDWELL ST, CLOVERDALE, CA 95425-3913
- **Practice address phone:** (707) 799-0404
- **Mailing address:** 125 CALDWELL ST, CLOVERDALE, CA 95425-3913
- **Mailing address phone:** (707) 799-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 4234 | CA | Yes |

## Other

- **Enumeration date:** 05/25/2017
- **Last updated:** 07/21/2022