# GRACEALLIANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ComForCare Home Care - PWC/S. Fairfax
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619732070
- **Authorized official:** MS. CANDI CANSLER (OWNER)
- **Authorized official phone:** (423) 972-2463

## Contact information

- **Practice address:** 9720 CAPITAL CT STE 401A, MANASSAS, VA 20110-2052
- **Practice address phone:** (703) 940-5946
- **Practice address fax:** (703) 650-1972
- **Mailing address:** 12282 SCOTTS MILL DR, BRISTOW, VA 20136-1914

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 02/15/2024