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Contact Information

A GRACEFUL WAY, LLC
6307 5TH AVE
LOS ANGELES, CA90043-4257
 Phone: 310-857-9644
 Fax: 323-753-6645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for A GRACEFUL WAY, LLC

NPI Number 1720494578
LBN Legal business name A GRACEFUL WAY, LLC
Authorized official RYAN REEDOM - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2014
Last updated 07/01/2014 - About 12 years ago
Identifiers
CA License # 201317810050
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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