Provider Demographics
NPI:1679364830
Name:GRACE AND FAVOUR HOME CARE SERVICES
Entity type:Organization
Organization Name:GRACE AND FAVOUR HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAWA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FULLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-729-9373
Mailing Address - Street 1:316 CLYDIA CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8791
Mailing Address - Country:US
Mailing Address - Phone:347-729-9373
Mailing Address - Fax:
Practice Address - Street 1:316 CLYDIA CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-8791
Practice Address - Country:US
Practice Address - Phone:347-729-9373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care