Provider Demographics
NPI:1841015161
Name:GRACEFUL HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:GRACEFUL HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGPCNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-213-4696
Mailing Address - Street 1:186 EVENTINE WAY
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-9311
Mailing Address - Country:US
Mailing Address - Phone:954-213-4696
Mailing Address - Fax:
Practice Address - Street 1:186 EVENTINE WAY
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-9311
Practice Address - Country:US
Practice Address - Phone:954-213-4696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1295550226OtherNPPES