Organization
GRACELYN HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE DERISO (CEO)
(470) 382-9511
Entity
Organization
Contact information
Practice address
802 ARDSLEY PL, NORCROSS, GA 30093-6401
(470) 382-9511
Mailing address
802 ARDSLEY PL, NORCROSS, GA 30093-6401
(470) 382-9511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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