# AGING GRACEFULLY RESIDENCE CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aging Gracefully Residence Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982470159
- **Authorized official:** EMMANUELLA A RICHMAN (CEO)
- **Authorized official phone:** (407) 587-6476

## Contact information

- **Practice address:** 1983 SKIDMORE AVE, ORLANDO, FL 32826-4616
- **Practice address phone:** (407) 587-6476
- **Mailing address:** 1983 SKIDMORE AVE, ORLANDO, FL 32826-4616
- **Mailing address phone:** (407) 587-6476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 11/29/2023