Organization
GRACEFUL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO HERNANDEZ (PRESIDENT)
(440) 899-2617
Entity
Organization
Contact information
Practice address
24500 CENTER RIDGE RD STE 140, WESTLAKE, OH 44145-5621
(440) 899-2617
(440) 899-2918
Mailing address
25200 CENTER RIDGE RD STE 140, WESTLAKE, OH 44145-4141
(440) 899-2617
(440) 899-2918
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
18-807-5
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997968
—
OH
Enumeration date
09/22/2009
Last updated
05/16/2025
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