Organization
GRACEFUL LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMONIQUE LEWIS (PRESIDENT)
(601) 507-0126
Entity
Organization
Contact information
Practice address
231 S VALLEY ST, CARTHAGE, MS 39051-4047
(601) 507-0126
Mailing address
PO BOX 1030, CARTHAGE, MS 39051-1030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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