Organization
GRACEFUL CAME IN HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE HENDRICKS (DIRECTOR)
(314) 853-9312
Entity
Organization
Contact information
Practice address
600 CAPITOL BLVD, ELKHART, IN 46516-4056
(574) 524-6573
(314) 338-4911
Mailing address
600 CAPITOL BLVD, ELKHART, IN 46516-4056
(574) 524-6573
(314) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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