Organization
GRACEFUL PERSONALCARE HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE B WASHINGTON (OWNER)
(706) 587-3302
Entity
Organization
Contact information
Practice address
5124 BUENA VISTA RD, COLUMBUS, GA 31907-5108
(706) 587-3302
(844) 808-0440
Mailing address
5124 BUENA VISTA RD, COLUMBUS, GA 31907-5108
(706) 587-3302
(844) 808-0440
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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