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Organization
STAY GRACEFUL INC
Active
Organization
STAY GRACEFUL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA OLSON (CEO)
(605) 679-7829
Entity
Organization
Contact information
Practice address
1719 W MAIN ST # 208, RAPID CITY, SD 57702-2564
(605) 679-7829
Mailing address
3115 STOCKADE DR, RAPID CITY, SD 57702-5065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/25/2019
Last updated
10/18/2019
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