Organization
GRACEFUL HEALING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA BOATWRIGHT (ADMINISTRATOR)
(800) 494-1393
Entity
Organization
Contact information
Practice address
160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
(800) 494-1393
Mailing address
231 WINDERMERE DR, LOGANVILLE, GA 30052-4649
(800) 494-1393
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
12/05/2023
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