Organization
GRACIOUS CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESI AFOA BANSAH NYANKAH (CHIEF OPERATIONS OFFICER)
(571) 435-7132
Entity
Organization
Contact information
Practice address
5 FOUNTAIN DR, STAFFORD, VA 22554-7298
(571) 435-7132
Mailing address
5 FOUNTAIN DR, STAFFORD, VA 22554-7298
(571) 435-7132
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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