# GRACEFUL LIFE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRACEFUL LIFE CHURCH, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780227884
- **Legal business name:** GRACEFUL LIFE CHURCH, INC.
- **Authorized official:** MS. BEATRICE A BONET (PRESIDENT)
- **Authorized official phone:** (203) 772-9725

## Contact information

- **Practice address:** 280 QUARRY RD UNIT C, MILFORD, CT 06460-8543
- **Practice address phone:** (203) 772-9725
- **Practice address fax:** (201) 717-5998
- **Mailing address:** 4 SKIFF ST APT B310, HAMDEN, CT 06514-1834
- **Mailing address phone:** (203) 772-9725
- **Mailing address fax:** (203) 717-5998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | NULL | — |
| 374T00000X | Religious Nonmedical Nursing Personnel | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2019
- **Last updated:** 10/23/2019
