# GRACE HOME HEALTH CARE, INC

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

## Provider details

- **NPI number:** 1841503448
- **Authorized official:** FATMATA BECKLEY RN (AGENCY SUPERVISOR)
- **Authorized official phone:** (708) 566-4509

## Contact information

- **Practice address:** 625 E 170TH ST STE 1NE, SOUTH HOLLAND, IL 60473-3481
- **Practice address phone:** (708) 566-4509
- **Practice address fax:** (708) 825-1372
- **Mailing address:** 625 E 170TH ST STE 1NE, SOUTH HOLLAND, IL 60473-3481
- **Mailing address phone:** (708) 566-4509
- **Mailing address fax:** (708) 825-1372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011205 | IL | Yes |

## Other

- **Enumeration date:** 07/23/2010
- **Last updated:** 04/01/2022