Provider Demographics
NPI:1073266094
Name:GRACE SENIOR SOLUTIONS LLC
Entity Type:Organization
Organization Name:GRACE SENIOR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TACHINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:313-284-4040
Mailing Address - Street 1:13830 COURTLAND ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2723
Mailing Address - Country:US
Mailing Address - Phone:248-836-7393
Mailing Address - Fax:
Practice Address - Street 1:13830 COURTLAND ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2723
Practice Address - Country:US
Practice Address - Phone:248-836-7393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health