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Organization
GRACE GENERATION HOMECARE SERVICES LLC
Active
Organization
GRACE GENERATION HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS WESSEH GUEH SR. (CHIEF FINACIAL OFFICAL)
(515) 200-9559
Entity
Organization
Contact information
Practice address
423 SW 8TH ST, DES MOINES, IA 50309-4615
(515) 200-9559
Mailing address
2752 HOLCOMB AVE, DES MOINES, IA 50310-5559
(515) 200-9559
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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