Organization
GRACIOUS COMPANIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEQUASIA WATTS (OWNER/CEO)
(678) 637-9984
Entity
Organization
Contact information
Practice address
1407 ADAMS ST, DOUGLAS, GA 31533-1217
(678) 637-9984
Mailing address
1407 ADAMS ST, DOUGLAS, GA 31533-1217
(678) 637-9984
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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