Organization
GRACEFUL JOURNEY COMPANION AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY GASSANT (ADMINISTRATOR)
(561) 668-3334
Entity
Organization
Contact information
Practice address
17 SOUTHERN CROSS CIR APT 205, BOYNTON BEACH, FL 33436-6786
(561) 668-3334
Mailing address
17 SOUTHERN CROSS CIR APT 205, BOYNTON BEACH, FL 33436-6786
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/05/2023
Last updated
05/06/2023
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