Organization
GRACIOUSLY AGING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYESHA MCCLAM (OWNER)
(215) 444-0911
Entity
Organization
Contact information
Practice address
101 LINDENWOOD DR STE 225, MALVERN, PA 19355-1762
(215) 444-0911
Mailing address
101 LINDENWOOD DR STE 225, MALVERN, PA 19355-1762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/20/2022
Last updated
04/05/2023
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