Organization
GRACEFULLY EXTENDED LLC
Active
Other names
Gracefully Extended LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARYELLE ROBERTSON (CEO)
(561) 506-5348
Entity
Organization
Contact information
Practice address
3203 CONWAY RD STE 200-C, ORLANDO, FL 32812-7303
(877) 977-1433
Mailing address
3203 CONWAY RD STE 200-C, ORLANDO, FL 32812-7303
(877) 977-1433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/12/2022
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