Organization
GRACEFUL VENTURES HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K GBENGA (PRESIDENT)
(215) 730-3044
Entity
Organization
Contact information
Practice address
1038 LINCOLN AVE FL 1, PROSPECT PARK, PA 19076-2218
(267) 206-7591
Mailing address
1038 LINCOLN AVE FL 1, PROSPECT PARK, PA 19076-2218
(267) 206-7591
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
05/08/2025
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