Provider Demographics
NPI:1740869346
Name:A TOUCH OF GRACE HOSPICE LLC
Entity type:Organization
Organization Name:A TOUCH OF GRACE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/ALTERNATE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-222-5730
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-0004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9460 AMBERDALE DR STE G3
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1203
Practice Address - Country:US
Practice Address - Phone:434-222-5730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based