Gracefully Aging Senior Services, INC
Clinic/Center, Adult Day Care in Aberdeen, MS. Organization (NPI-2).
NPI number1194455071
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1194455071
- Entity type
- Organization (NPI-2)
- Legal business name
- Gracefully Aging Senior Services, INC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Other names
- Gracefully Aging Senior Services, INC (Doing Business As)
Practice location
306 S Maple StAberdeen, MS 39730-3214
Phone 662-318-6222 · Fax 662-368-1635
Mailing address
306 S Maple StAberdeen, MS 39730-3214
Phone 662-318-6222 · Fax 662-368-1635
Authorized official
Yvonne Yvonne Richard
Ceo
6624251122
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