Organization
GRACEFULLY AGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHAWNA MONIQUE SPRINGER (FOUNDER)
(256) 808-9667
Entity
Organization
Contact information
Practice address
14267 HIGHWAY 231 431 N, HAZEL GREEN, AL 35750-9475
(256) 808-9667
Mailing address
214 HOLT ST, MERIDIANVILLE, AL 35759-3101
(256) 808-9667
(256) 813-5193
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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