Organization
GRACIOUS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA A ALI (OWNER/MANAGER)
(612) 568-9923
Entity
Organization
Contact information
Practice address
3867 LA BELLE ST, COLUMBIA HEIGHTS, MN 55421-5032
(612) 568-9923
Mailing address
3867 LA BELLE ST, COLUMBIA HEIGHTS, MN 55421-5032
(612) 568-9923
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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