Organization
GRACEFUL LIVING HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEWUNMI SARUMI (DIRECTOR OF OPERATIONS)
(843) 576-5392
Entity
Organization
Contact information
Practice address
118 BEE ST STE D, LADSON, SC 29456-3410
(843) 576-5392
Mailing address
118 BEE ST STE D, LADSON, SC 29456-3410
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP0044
SC
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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