Organization
AGING GRACE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA BOYD (CEO)
(314) 376-7691
Entity
Organization
Contact information
Practice address
3979 WINDEMER DR, FLORISSANT, MO 63033-4051
(314) 376-7691
Mailing address
3979 WINDEMER DR, FLORISSANT, MO 63033-4051
(314) 376-7691
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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