Organization
GRACE HOME CARE PROVIDER LLC
Active
Other names
GRACE HOME CARE PROVIDER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GAELLE FOKOU MASSA (ADMINISTRATOR)
(912) 343-6454
Entity
Organization
Contact information
Practice address
22 TRASK CIR, HINESVILLE, GA 31313-1197
(912) 343-6454
Mailing address
22 TRASK CIR, HINESVILLE, GA 31313-1197
(912) 343-6454
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
04/09/2024
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