# GRACEFULLEE DRIVEN HOME CARE LLC

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

## Provider details

- **NPI number:** 1992459036
- **Authorized official:** VANITY M LEE (OWNER)
- **Authorized official phone:** (317) 358-3110

## Contact information

- **Practice address:** 2555 E 55TH PLACE, SUITE 209, INDIANAPOLIS, IN 46220
- **Practice address phone:** (317) 358-3110
- **Practice address fax:** (317) 754-0947
- **Mailing address:** 2555 E 55TH PLACE, SUITE 209, INDIANAPOLIS, IN 46220
- **Mailing address phone:** (317) 358-3110
- **Mailing address fax:** (317) 754-0947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2022
- **Last updated:** 02/08/2022