Organization
JS' GRACE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESZIRAE MONIQUE WHITE (CEO/ADMINISTRATOR)
(216) 385-3407
Entity
Organization
Contact information
Practice address
20891 TRACY AVE, EUCLID, OH 44123-3050
(216) 385-3407
Mailing address
20891 TRACY AVE, EUCLID, OH 44123-3050
(216) 385-3407
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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