| NPI | 1992560262 |
|---|---|
| Former Legal Business Name | GRACE HOME CARE PROVIDER LLC |
| Entity Type | Organization |
| Authorized Contact | GAELLE FOKOU MASSA Administrator 912-343-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-04-09 |