Graceful Living Services
Nursing Care in Philadelphia, PA. Organization (NPI-2).
NPI number1114894433
StatusActive
Last updated in NPPESOct 19, 2026
Details
- NPI
- 1114894433
- Entity type
- Organization (NPI-2)
- Legal business name
- Graceful Living Services
- Organization subpart
- No
- Enumeration date
- Oct 21, 2025
- Certification date
- Oct 19, 2026
- Last updated
- Oct 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 372500000X | Chore Provider | – | – |
Practice location
5624 Morton StPhiladelphia, PA 19144-1330
Phone 215-939-2603
Mailing address
5624 Morton StPhiladelphia, PA 19144-1330
Phone 215-939-2603
Authorized official
Lakisha Thomas Bynum
Ceo
2159392603
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