# AMAZING GRACE CAREGIVERS LLC

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

## Provider details

- **NPI number:** 1598256521
- **Authorized official:** BOB C IBENEME (MANAGING DIRECTOR)
- **Authorized official phone:** (708) 774-3887

## Contact information

- **Practice address:** 17 HIGH ST, HALLOWELL, ME 04347-1222
- **Practice address phone:** (708) 774-3887
- **Mailing address:** 17 HIGH ST, HALLOWELL, ME 04347-1222
- **Mailing address phone:** (708) 774-3887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376J00000X | Homemaker | — | NULL | Yes |
| 376J00000X | Homemaker | — | — | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/25/2018
- **Last updated:** 05/25/2018