# GRACEFULLY WITH AGE HEALTHCARE AGENCY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Gracefully With Age
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588420327
- **Authorized official:** MALVENIA AVERY (PRESIDENT)
- **Authorized official phone:** (484) 948-8829

## Contact information

- **Practice address:** 503 S. 4TH STREET, DARBY, PA 19023-3119
- **Practice address phone:** (484) 948-8829
- **Mailing address:** 503 S. 4TH STREET, DARBY, PA 19023-3119
- **Mailing address phone:** (484) 948-8829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2024
- **Last updated:** 02/27/2024