Organization
AMAZING GRACE HOME HEALTH SERVICES LLC
Active
Other names
Amazing Grace Home Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANA PAULA LISTON RN (CEO)
(561) 373-5938
Entity
Organization
Contact information
Practice address
422 HOLTZMAN AVE, COLUMBUS, OH 43205-1605
(561) 373-5938
(614) 725-2158
Mailing address
422 HOLTZMAN AVE, COLUMBUS, OH 43205-1605
(561) 373-5938
(614) 725-2158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
327978
OH
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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