Organization
GRACE HOME HEATLH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EARLEEN SURALL YOUNG REV (OWNER)
(662) 492-0883
Entity
Organization
Contact information
Practice address
550 COMMERCE ST APT 14, WEST POINT, MS 39773-3052
(662) 494-5890
Mailing address
550 COMMERCE ST APT 14, WEST POINT, MS 39773-3052
(662) 494-5890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
AO9357
MS
347C00000X
Private Vehicle
Primary
—
MS
Other
Enumeration date
04/25/2007
Last updated
09/11/2025
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