Grace Agency Incorporated
Home Health in Philadelphia, PA. Organization (NPI-2).
NPI number1164036026
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1164036026
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Agency Incorporated
- Organization subpart
- No
- Enumeration date
- Sep 8, 2020
- Certification date
- Sep 2, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
433 Longshore AvePhiladelphia, PA 19111
Phone 215-983-1452
Mailing address
433 Longshore AvePhiladelphia, PA 19111
Authorized official
Wilson Pascal
Founder/Ceo
2159831452
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