Organization
GRACIOUS TOUCH HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE E NWAKI RN,BS,MPA (CEO)
(707) 712-0598
Entity
Organization
Contact information
Practice address
3446 GLEN ELLEN DR, FAIRFIELD, CA 94534-7959
(707) 712-0598
Mailing address
3446 GLEN ELLEN DR, FAIRFIELD, CA 94534-7959
(707) 712-0598
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
201527310416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201527310416
STATE LICENSE
CA
Enumeration date
01/13/2016
Last updated
01/13/2016
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