Organization
GRACE IN-HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAPETU GUKISUVA SAUVOU (OWNER)
(707) 799-0404
Entity
Organization
Contact information
Practice address
125 CALDWELL ST, CLOVERDALE, CA 95425-3913
(707) 799-0404
Mailing address
125 CALDWELL ST, CLOVERDALE, CA 95425-3913
(707) 799-0404
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
4234
CA
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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