Organization
GRACE HOME HEALTH CARE SERVICE INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN EUGENE FOSTER SR. (OWNER)
(937) 520-1087
Entity
Organization
Contact information
Practice address
38 FOUNTAIN AVE, DAYTON, OH 45405-3702
(937) 520-1087
Mailing address
38 FOUNTAIN AVE, DAYTON, OH 45405-3702
(937) 520-1087
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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