Organization
GRACEFULLY AGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKIA STARKER (MANAGER)
(407) 844-5840
Entity
Organization
Contact information
Practice address
1837 LOCHSHYRE LOOP, OCOEE, FL 34761-9160
(407) 844-5840
Mailing address
1837 LOCHSHYRE LOOP, OCOEE, FL 34761-9160
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174088827
—
FL
01
—
253Z00000X
TAXONOMY
FL
05
—
253Z00000X
—
FL
Enumeration date
11/15/2018
Last updated
02/09/2026
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