# GRACE TOTAL HOMECARE SERVICES LLC.

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

## Provider details

- **NPI number:** 1710670047
- **Authorized official:** RAYFRED JOSEPHINE ANSAH CEO/RN (OWNER)
- **Authorized official phone:** (201) 779-9632

## Contact information

- **Practice address:** 11 STATE ST UNIT 202L, HACKENSACK, NJ 07601-5429
- **Practice address phone:** (201) 402-9550
- **Practice address fax:** (201) 402-9549
- **Mailing address:** 11 STATE ST UNIT 202L, HACKENSACK, NJ 07601-5429
- **Mailing address phone:** (201) 402-9550
- **Mailing address fax:** (201) 407-9549

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2023
- **Last updated:** 06/05/2024