# GRACEFULLY LIVING HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gracefully Living Home Health, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528948361
- **Authorized official:** MR. WALTER DANIEL HOOPER III (MANAGER)
- **Authorized official phone:** (757) 325-0649

## Contact information

- **Practice address:** 4020 CHERRYWOOD CT, CHESAPEAKE, VA 23321-3342
- **Practice address phone:** (757) 325-0649
- **Practice address fax:** (757) 325-0649
- **Mailing address:** 4020 CHERRYWOOD CT, CHESAPEAKE, VA 23321-3342
- **Mailing address phone:** (757) 325-0649
- **Mailing address fax:** (757) 325-0649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2025
- **Last updated:** 09/03/2025