Organization
AT HOME GRACEFULLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALISHA L OUTLAW (OWNER)
(502) 509-6233
Entity
Organization
Contact information
Practice address
1107 PAYNE ST, LOUISVILLE, KY 40204-2313
(502) 509-6233
Mailing address
1107 PAYNE ST, LOUISVILLE, KY 40204-2313
(502) 509-6233
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/26/2026
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