Organization
GRACIOUS HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AKERIA C BETSEY LPN (ADMINISTRATOR)
(850) 728-2677
Entity
Organization
Contact information
Practice address
3034 PROVIDENCE RD, QUINCY, FL 32351-6003
(850) 728-2677
Mailing address
PO BOX 821, QUINCY, FL 32353-0821
(850) 728-2677
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237257
AGENCY FOR HEALTHCARE ADMINISTRATION
FL
Enumeration date
11/27/2020
Last updated
02/13/2021
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