Organization
GRACE AT HOME PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FORMAN (PRESIDENT)
(302) 329-9775
Entity
Organization
Contact information
Practice address
28350 LEWES GEORGETOWN HWY, MILTON, DE 19968-3115
(302) 329-9775
Mailing address
28350 LEWES GEORGETOWN HWY, MILTON, DE 19968-3115
(302) 329-9775
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
225100000X
DE
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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