Organization
GRACEFUL JOURNEY HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENELL A CLARK (OWNER)
(402) 212-6406
Entity
Organization
Contact information
Practice address
5102 N 166TH PLZ APT B202, OMAHA, NE 68116-3795
(402) 212-6406
Mailing address
5102 N 166TH PLZ APT B202, OMAHA, NE 68116-3795
(402) 212-6406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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