Organization
GRACEFULLY WITH AGE HEALTHCARE AGENCY, LLC
Active
Other names
Gracefully With Age
Organization subpart
No
Provider details
NPI number
Authorized official
MALVENIA AVERY (PRESIDENT)
(484) 948-8829
Entity
Organization
Contact information
Practice address
503 S. 4TH STREET, DARBY, PA 19023-3119
(484) 948-8829
Mailing address
503 S. 4TH STREET, DARBY, PA 19023-3119
(484) 948-8829
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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