# AMAZING GRACE HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1659816726
- **Authorized official:** MS. AVA JOHNSON (EXECUTIVE DIRECTR)
- **Authorized official phone:** (314) 458-6727

## Contact information

- **Practice address:** 3159 FEE FEE RD, SUITE 221, BRIDGETON, MO 63044-3299
- **Practice address phone:** (314) 497-7518
- **Mailing address:** 3159 FEE FEE RD, SUITE 221, BRIDGETON, MO 63044-3299
- **Mailing address phone:** (314) 497-7518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/28/2016
- **Last updated:** 12/28/2016