Organization
GRACEFUL LIVING HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY J SIEBERT (OWNER)
(651) 705-7212
Entity
Organization
Contact information
Practice address
6043 HUDSON RD STE 140K, WOODBURY, MN 55125-1030
(651) 705-7212
(888) 603-8429
Mailing address
6043 HUDSON RD STE 140K, WOODBURY, MN 55125-1030
(651) 705-7212
(888) 603-8429
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
345982
MN
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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