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Organization
AGING GRACEFULLY LLC
Active
Organization
AGING GRACEFULLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENAE TYNES (OWNER)
(757) 316-6719
Entity
Organization
Contact information
Practice address
2013 N ARMISTEAD AVE, APT D18, HAMPTON, VA 23666-3400
(757) 316-6719
Mailing address
2013 N ARMISTEAD AVE, APT D18, HAMPTON, VA 23666-3400
(757) 316-6719
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
125633
VA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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