# CHARIS GRACE HEALTH CARE SERVICES INC.

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

## Provider details

- **NPI number:** 1720711575
- **Authorized official:** HILDA KAETU-SMITH (ADMINISTATOR, DIRECTOR)
- **Authorized official phone:** (703) 589-9167

## Contact information

- **Practice address:** 8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
- **Practice address phone:** (571) 575-4867
- **Mailing address:** 8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
- **Mailing address phone:** (703) 589-9167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/07/2022
- **Last updated:** 09/20/2024