Aging Graceful Care Llc
NPI Registration Record
| Provider / Organization | NPI | Date Certified |
|---|
| AGING GRACEFUL CARE LLC | 1114689585 | 2024-01-06 |
The organization Aging Graceful Care Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1114689585. Registration indicates Aging Graceful Care Llc is a provider of services with a specialization in Agencies, In Home Supportive Care (In Home Supportive Care, ) (In Home Supportive Care, Agencies)
Other Names:
| Entity Type | Organization |
| |
| Provider Organization | AGING GRACEFUL CARE LLC |
| Other Provider Organization | AGING GRACEFUL CARE |
| Practice Office Address | 5160 HICKORY POINT FRONTAGE RD
DECATUR, IL US |
| Practice Office Telephone | 2172473120 |
| Mailing Address | 2610 S FORREST GREEN DR
DECATUR, IL 625215411 US |
| Business Telephone | 2174549645 |
| Authorized Official | TOSHA COBB, OWNER/DIRECTOR
2174549645 |
HPT Codes
| Code | Practice | License No State |
|---|
| 253Z00000X PRIMARY |
Agencies
In Home Supportive Care
In Home Supportive Care
In Home Supportive Care
Agencies |
|
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