Organization
GREAT GRACE HOME CARE AND BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC EGHAN (CO-OWNER AND CEO)
(412) 294-3175
Entity
Organization
Contact information
Practice address
5499 MESA RIDGE LN, E, COLUMBUS, OH 43231-6722
(412) 294-3175
Mailing address
7422 MAPLE SPICE AVE, CANAL WINCHESTER, OH 43110-8073
(412) 294-3175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
S1303301
OH
251C00000X
Developmentally Disabled Services Day Training Agency
S1303301
OH
251E00000X
Home Health Agency
Primary
S1303301
OH
251S00000X
Community/Behavioral Health Agency
S1303301
OH
253Z00000X
In Home Supportive Care Agency
S1303301
OH
Other
Enumeration date
06/25/2014
Last updated
07/23/2020
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