Organization
GRACELAND HOMECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKINWANDE OBAFEMI (CHAIRPERSON/ADMINISTRATOR)
(718) 687-7336
Entity
Organization
Contact information
Practice address
2768 PITKIN AVE, BROOKLYN, NY 11208-3239
(718) 552-2694
(718) 552-2695
Mailing address
17 MILLER FARMS DR, MILLER PLACE, NY 11764-2439
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
08/13/2021
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