Organization
GRACESTAR HEALTH SERVICES LLC
Active
Other names
Gracestar Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ABENA OWUSU-SEKYERE (CEO)
(571) 221-4656
Entity
Organization
Contact information
Practice address
17300 RIVER RIDGE BLVD STE 201, WOODBRIDGE, VA 22191-5168
(571) 221-4656
Mailing address
17300 RIVER RIDGE BLVD STE 201, WOODBRIDGE, VA 22191-5168
(571) 221-4656
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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