Provider Demographics
NPI:1689230088
Name:GRACEFUL HAND HOME HEALTHCARE
Entity Type:Organization
Organization Name:GRACEFUL HAND HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAWA
Authorized Official - Middle Name:MABEL
Authorized Official - Last Name:KOROMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-267-5490
Mailing Address - Street 1:1414 MILESTONE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2737
Mailing Address - Country:US
Mailing Address - Phone:301-267-5490
Mailing Address - Fax:
Practice Address - Street 1:1414 MILESTONE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2737
Practice Address - Country:US
Practice Address - Phone:301-267-5490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health