Organization
GRACIOUS CARING HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISLANDE JOSEPH (OWNER/ADMINISTRATOR)
(561) 503-1406
Entity
Organization
Contact information
Practice address
PALM COAST PLAZA 3044 S MILITARY TR. SUITE G OFFICE#105, LAKE WORTH, FL 33463
(561) 503-1406
Mailing address
PALM COAST PLAZA 3044 S MILITARY TR. SUITE G OFFICE#105, LAKE WORTH, FL 33463
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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