Organization
GRACEFUL IN HOME LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATERRIA MANN (ADMINISTRATOR)
(941) 226-3573
Entity
Organization
Contact information
Practice address
2408 1ST AVE E, PALMETTO, FL 34221-2705
(941) 226-3573
Mailing address
2408 1ST AVE E, PALMETTO, FL 34221-2705
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
06/29/2022
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