Organization
ETERNAL LOVE AND GRACIOUS HANDS HOME HEALTHCARE INC
Active
Other names
EL&GHHHC, EL&GHHHC, Eternal love and gracious hands home healthcare inc
Organization subpart
No
Provider details
NPI number
Authorized official
TYLEEYA ELLIS (AGENCY DIRECTOR)
(472) 210-9561
Entity
Organization
Contact information
Practice address
111 LAMON ST STE 115, FAYETTEVILLE, NC 28301-4917
(472) 210-9561
(910) 900-9830
Mailing address
111 LAMON ST STE 115, FAYETTEVILLE, NC 28301-4917
(472) 210-9561
(910) 990-9830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/27/2024
Last updated
05/08/2026
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