Provider Demographics
NPI:1326406893
Name:GRACEFUL HOME CARE
Entity Type:Organization
Organization Name:GRACEFUL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNYABURANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-408-3161
Mailing Address - Street 1:10 TOWER OFFICE PARK
Mailing Address - Street 2:SUITE 404
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2182
Mailing Address - Country:US
Mailing Address - Phone:781-281-1866
Mailing Address - Fax:
Practice Address - Street 1:10 TOWER OFFICE PARK
Practice Address - Street 2:SUITE 404
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2182
Practice Address - Country:US
Practice Address - Phone:781-281-1866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care