Organization
GRACEFULLY AGING HOME CARE LLC
Active
Other names
GRACEFULLY AGING HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMEKA TYSHEENA WHITE (HOME CARE MANAGER)
(856) 773-8193
Entity
Organization
Contact information
Practice address
2936 RUTH ST, PHILADELPHIA, PA 19134-3542
(856) 773-8193
Mailing address
2936 RUTH ST, PHILADELPHIA, PA 19134-3542
(856) 773-8193
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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