Organization
GRACE AVAIL AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIKA DAWN LIVINGSTON LPN (OWNER)
(814) 844-0195
Entity
Organization
Contact information
Practice address
1337 E 8TH STREET, ERIE, PA 16503
(814) 844-0195
Mailing address
1337 E 8TH ST, ERIE, PA 16503-1705
(814) 844-0195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PN284419
PA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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