Organization
LIVING GRACE OF GEORGIA LLC
Active
Other names
Grace Living PCH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WOGHIREN (ADMINISTRATOR)
(678) 616-4822
Entity
Organization
Contact information
Practice address
2417 CANTON RD, MARIETTA, GA 30066-5376
(678) 616-4822
(678) 929-9144
Mailing address
2417 CANTON RD, MARIETTA, GA 30066-5376
(678) 616-4822
(678) 929-9144
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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