Organization
GRACE GENERATION HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYRUS WESSEH GUEH SR. (CHIEF FINACIAL OFFICAL)
(515) 200-9559
Entity
Organization
Contact information
Practice address
423 SW 8TH ST, DES MOINES, IA 50309-4615
(515) 200-9559
Mailing address
2752 HOLCOMB AVE, DES MOINES, IA 50310-5559
(515) 200-9559
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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