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Organization

GRACE HUMAN SERVICES LLC

Active
Other names
Grace Community Services
Organization subpart
No

Provider details

NPI number
Authorized official
CHAVONE JACKSON (PRESIDENT)
(888) 322-3611
Entity
Organization

Contact information

Practice address
1305 W CHESTER PIKE, HAVERTOWN, PA 19083-2929
(888) 322-3611
Mailing address
1305 W CHESTER PIKE, HAVERTOWN, PA 19083-2929
(888) 322-3611

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
253Z00000X
In Home Supportive Care Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
07/19/2024
Last updated
07/19/2024
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