Organization
GRACEFUL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE GRACE SULLIVAN (CEO)
(980) 616-9781
Entity
Organization
Contact information
Practice address
325 MCGILL AVE NW STE 524, CONCORD, NC 28027-6239
(980) 616-9781
Mailing address
325 MCGILL AVE NW STE 524, CONCORD, NC 28027-6239
(980) 616-9781
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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