# GOD'S GRACE HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1740875756
- **Authorized official:** MS. MARLENE JOHNSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 585-8460

## Contact information

- **Practice address:** 100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
- **Practice address phone:** (314) 585-8460
- **Mailing address:** 100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 03/02/2021
