| NPI | 1114689585 |
|---|---|
| Doing Business As | AGING GRACEFUL CARE |
| Entity Type | Organization |
| Authorized Contact | TOSHA COBB Owner/Director 217-454-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-01-06 |