NPI | 1871072892 |
---|---|
Professional Name | GRACEFUL HOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 32039) |
Additional Taxonomies | 251E00000X Home Health |
163WH0200X Registered Nurse Home Health (Licence: KS 131229) | |
3747A0650X Technician Attendant Care Provider | |
385H00000X Respite Care | |
Enumeration Date | 2018-08-09 |
Last Update Date | 2020-07-02 |