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Organization

GENTLE GRACE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CORIAN OBRIEN SHAW SR. (OWNER)
(252) 333-2514
Entity
Organization

Contact information

Practice address
905 HALSTEAD BLVD STE 26D, ELIZABETH CITY, NC 27909-6816
(252) 333-2514
Mailing address
100 FANNIE DR, ELIZABETH CITY, NC 27909-7009
(252) 333-2514

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
05/15/2026
Last updated
05/15/2026
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