Organization
GRACEFUL SERENITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WASHINGTON (OWNER)
(601) 826-6953
Entity
Organization
Contact information
Practice address
1440 DUNN PEASE RD, RAYMOND, MS 39154-8252
(601) 826-6953
Mailing address
1440 DUNN PEASE RD, RAYMOND, MS 39154-8252
(601) 826-6953
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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