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Organization
GRACEFULLY WITH AGE HEALTHCARE AGENCY, LLC
Active
Organization
GRACEFULLY WITH AGE HEALTHCARE AGENCY, LLC
Active
Other names
Gracefully With Age
Organization subpart
No
Provider details
NPI number
Authorized official
MALVENIA AVERY (PRESIDENT)
(484) 948-8829
Entity
Organization
Contact information
Practice address
503 S. 4TH STREET, DARBY, PA 19023-3119
(484) 948-8829
Mailing address
503 S. 4TH STREET, DARBY, PA 19023-3119
(484) 948-8829
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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