Organization
GRACE LIGHT HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHONDA MORROW (CEO)
(773) 592-7856
Entity
Organization
Contact information
Practice address
496 MAGNOLIA DR, DAWSONVILLE, GA 30534-7669
(773) 592-7856
Mailing address
496 MAGNOLIA DR, DAWSONVILLE, GA 30534-7669
(773) 592-7856
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/08/2025
Last updated
03/27/2025
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