Provider Demographics
NPI:1245057322
Name:ASSISTING GRACE HOMECARE LLC
Entity type:Organization
Organization Name:ASSISTING GRACE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-710-4343
Mailing Address - Street 1:4335 ABBOTTS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2107
Mailing Address - Country:US
Mailing Address - Phone:678-710-4343
Mailing Address - Fax:
Practice Address - Street 1:4335 ABBOTTS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-2107
Practice Address - Country:US
Practice Address - Phone:678-710-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care