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Contact Information

GRACES SUPPORTIVE LIVING SERVICES, LLC
3350 RIVERWOOD PKWY SE STE 1900
ATLANTA, GA30339
 Phone: 770-984-5388
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for GRACES SUPPORTIVE LIVING SERVICES, LLC

NPI # 1871044438
LBN Legal business name GRACES SUPPORTIVE LIVING SERVICES, LLC
Authorized official KEISHA DOWDELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2016
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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