Organization
GRACE AND MERCY HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAKITA SHERISE MUMPHERY (DIRECTOR)
(704) 999-9805
Entity
Organization
Contact information
Practice address
2750 E WT HARRIS BLVD STE 118, CHARLOTTE, NC 28213-4286
(704) 858-1853
Mailing address
2750 E WT HARRIS BLVD STE 118, CHARLOTTE, NC 28213-4286
(704) 858-1853
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/10/2019
Last updated
02/18/2021
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