Organization
GRACE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL G MANSUR (ADMINISTRATOR)
(803) 995-8324
Entity
Organization
Contact information
Practice address
2220 S COUNTRY CLUB DR STE 107, MESA, AZ 85210-6808
(480) 497-0302
(480) 497-0305
Mailing address
1930 S ALMA SCHOOL RD STE B206, MESA, AZ 85210-3041
(480) 497-0302
(480) 497-0305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
07/09/2024
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