Provider Demographics
NPI:1477064764
Name:SAVED WITH AMAZING GRACE HOME CARE SERVICES
Entity Type:Organization
Organization Name:SAVED WITH AMAZING GRACE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-202-0647
Mailing Address - Street 1:828 BOLD ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-3904
Mailing Address - Country:US
Mailing Address - Phone:757-202-0647
Mailing Address - Fax:
Practice Address - Street 1:828 BOLD ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-3904
Practice Address - Country:US
Practice Address - Phone:757-202-0647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-1727253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care