Organization
GRACE LIVING SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENY SEPULVEDA HOME HEALTH CERT (OWNER)
(216) 855-6829
Entity
Organization
Contact information
Practice address
4700 W 150TH ST, CLEVELAND, OH 44135-3464
(216) 855-6829
Mailing address
5801 CLARK AVE, CLEVELAND, OH 44102-4427
(216) 855-6829
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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