| NPI | 1508715863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE EJAH Manager & Owner 260-418-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |