NPI | 1629474218 |
---|---|
Doing Business As | AMAZING GRACE HOME HEALTH |
Entity Type | Organization |
Authorized Contact | DOMIQUE PACLIBAR Vice President 510-243-9987 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2014-11-10 |
Last Update Date | 2014-11-10 |