Organization
GRACIOUS HAVEN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTIE GAGNON (OFFICE MANAGER)
(520) 975-3119
Entity
Organization
Contact information
Practice address
3843 E PRESIDIO RD, TUCSON, AZ 85716-1736
(520) 975-3119
(520) 844-1522
Mailing address
PO BOX 64636, TUCSON, AZ 85728-4636
(520) 975-3119
(520) 844-1522
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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