Organization
IMMANUELS GRACE HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI GURUNG (SECRETARY/OWNER)
(718) 808-2714
Entity
Organization
Contact information
Practice address
321 HIGHLAND AVE, SYRACUSE, NY 13203-1607
(315) 883-0499
(315) 883-0594
Mailing address
321 HIGHLAND AVE, SYRACUSE, NY 13203-1607
(315) 883-0499
(315) 883-0594
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
374U00000X
Home Health Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/24/2018
Last updated
12/24/2018
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