# GRACE AND PEACE HOME HEALTH AGENCY LLC

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

## Provider details

- **NPI number:** 1760724272
- **Authorized official:** STEVEN LEE JOHNSON (CAREGIVER)
- **Authorized official phone:** (248) 252-1023

## Contact information

- **Practice address:** 19110 MCCORMICK ST, DETROIT, MI 48224-1018
- **Practice address phone:** (248) 252-1023
- **Mailing address:** 19110 MCCORMICK ST, DETROIT, MI 48224-1018
- **Mailing address phone:** (248) 252-1023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1506511 | MI | Yes |

## Other

- **Enumeration date:** 03/22/2013
- **Last updated:** 09/04/2014
