Organization
GRACIOUS LIVING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON GILBERT HANDY (CEO)
(267) 592-8514
Entity
Organization
Contact information
Practice address
5706 N 20TH ST, PHILADELPHIA, PA 19138-2902
(267) 592-8514
Mailing address
5706 N 20TH ST, PHILADELPHIA, PA 19138-2902
(267) 592-8514
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/04/2019
Last updated
08/04/2019
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