Organization
GRACE EXTENDED HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS J HARRIS (PRESIDENT)
(215) 901-9104
Entity
Organization
Contact information
Practice address
5440 N 6TH ST # 432, PHILADELPHIA, PA 19120-2738
(215) 901-9104
Mailing address
5440 N 6TH ST # 432, PHILADELPHIA, PA 19120-2738
(215) 901-9104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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