# A GRACEFUL WAY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Graceful Way In-home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720494578
- **Authorized official:** MR. RYAN SULLIVAN REEDOM (OWNER/CEO)
- **Authorized official phone:** (310) 857-9644

## Contact information

- **Practice address:** 6307 5TH AVE, LOS ANGELES, CA 90043-4257
- **Practice address phone:** (310) 857-9644
- **Practice address fax:** (323) 753-6645
- **Mailing address:** 6307 5TH AVE, LOS ANGELES, CA 90043-4257
- **Mailing address phone:** (310) 857-9644
- **Mailing address fax:** (323) 753-6645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 201317810050 | CA | Yes |

## Other

- **Enumeration date:** 07/01/2014
- **Last updated:** 07/01/2014