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1104397397
EXTENDED GRACE HOME CARE SERVICES LLC
LORAIN, OH
NPI
1104397397
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Entity Type
Organization
Authorized Contact
YALESIA N COOPER
Owner
440-453-8981
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
EXTENDED GRACE HOME CARE SERVICES LLC
1905 N RIDGE RD E STE D
LORAIN, OH 44055-3344
Phone number: 440-412-9279
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Mailing Address
EXTENDED GRACE HOME CARE SERVICES LLC
5918 OLIVE AVE
NORTH RIDGEVILLE, OH 44039-1832
Phone number: 440-412-9279
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