# KTK AMAZING GRACE HOME HEALTH CARE LTD

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

## Provider details

- **NPI number:** 1982065314
- **Authorized official:** ADESOLA SODIPE (ADMINISTRATOR)
- **Authorized official phone:** (815) 557-7277

## Contact information

- **Practice address:** 1 DEARBORN SQ, SUITE 444, KANKAKEE, IL 60901-3942
- **Practice address phone:** (815) 557-7277
- **Mailing address:** 1 DEARBORN SQ, SUITE 444, KANKAKEE, IL 60901-3942
- **Mailing address phone:** (815) 557-7277

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2016
- **Last updated:** 03/13/2016