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Organization

GRACEFULLY AGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KADESHA MARSHALL MARSHALL (OWNER)
(254) 630-2190
Entity
Organization

Contact information

Practice address
14400 JFK BLVD APT 1224, FORT WORTH, TX 76155-1020
(254) 630-2190
Mailing address
14400 JFK BLVD APT 1224, FORT WORTH, TX 76155-1020
(254) 630-2190

Taxonomy

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

Other

Enumeration date
01/17/2026
Last updated
01/17/2026
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