Organization
GRACEFUL LIVING SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSAIRE CANTAVE OLIVIER (PRESIDENT)
(786) 818-4574
Entity
Organization
Contact information
Practice address
540 NW 165TH STREET RD STE 305A, MIAMI, FL 33169-6342
(786) 818-4574
(786) 818-4574
Mailing address
540 NW 165TH STREET RD STE 305A, MIAMI, FL 33169-6342
(786) 818-4574
(786) 818-4574
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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