Organization
AGING GRACEFUL CARE LLC
Active
Other names
Aging Graceful Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOSHA COBB PTA,LMT (OWNER/DIRECTOR)
(217) 454-9645
Entity
Organization
Contact information
Practice address
5160 HICKORY POINT FRONTAGE RD, DECATUR, IL 62526-9778
(217) 247-3120
Mailing address
2610 S FORREST GREEN DR, DECATUR, IL 62521-5411
(217) 454-9645
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
01/06/2024
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