# GRACE HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1881826766
- **Authorized official:** MR. JAMAL G MANSUR (ADMINISTRATOR)
- **Authorized official phone:** (803) 995-8324

## Contact information

- **Practice address:** 2220 S COUNTRY CLUB DR STE 107, MESA, AZ 85210-6808
- **Practice address phone:** (480) 497-0302
- **Practice address fax:** (480) 497-0305
- **Mailing address:** 1930 S ALMA SCHOOL RD STE B206, MESA, AZ 85210-3041
- **Mailing address phone:** (480) 497-0302
- **Mailing address fax:** (480) 497-0305

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2009
- **Last updated:** 07/09/2024