Organization
GRACIOUS LIVING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOREEN A PHOENIX (OWNER)
(954) 588-0202
Entity
Organization
Contact information
Practice address
13340 80TH LN N, WEST PALM BEACH, FL 33412-2663
(954) 588-0202
(561) 508-7089
Mailing address
13340 80TH LN N, WEST PALM BEACH, FL 33412-2663
(954) 588-0202
(561) 508-7089
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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