# GRACE AT HOME PT, LLC

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

## Provider details

- **NPI number:** 1952857898
- **Authorized official:** DAVID FORMAN (PRESIDENT)
- **Authorized official phone:** (302) 329-9775

## Contact information

- **Practice address:** 28350 LEWES GEORGETOWN HWY, MILTON, DE 19968-3115
- **Practice address phone:** (302) 329-9775
- **Mailing address:** 28350 LEWES GEORGETOWN HWY, MILTON, DE 19968-3115
- **Mailing address phone:** (302) 329-9775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 225100000X | DE | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016