Organization
GRACIE HEART HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS T HEADEN III J.D. (CHIEF OF COMPLIANCE)
(214) 207-2914
Entity
Organization
Contact information
Practice address
24318 EL PILAR, LAGUNA NIGUEL, CA 92677
(214) 207-2914
Mailing address
24318 EL PILAR, LAGUNA NIGUEL, CA 92677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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