Organization
GRACEFUL LIFE CARE LLC
Active
Parent organization
GRACEFUL LIFE CHURCH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACEFUL LIFE CHURCH, INC.
Authorized official
MS. BEATRICE A BONET (PRESIDENT)
(203) 772-9725
Entity
Organization
Contact information
Practice address
280 QUARRY RD UNIT C, MILFORD, CT 06460-8543
(203) 772-9725
(201) 717-5998
Mailing address
4 SKIFF ST APT B310, HAMDEN, CT 06514-1834
(203) 772-9725
(203) 717-5998
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCA0001489
HCA0001489
CT
Enumeration date
10/21/2019
Last updated
10/23/2019
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