Provider Demographics
NPI:1972265882
Name:GRACEFUL HANDS HOME CARE, LLC
Entity type:Organization
Organization Name:GRACEFUL HANDS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-852-2199
Mailing Address - Street 1:125 BUCKWALTER RD
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2729
Mailing Address - Country:US
Mailing Address - Phone:215-852-2199
Mailing Address - Fax:
Practice Address - Street 1:125 BUCKWALTER RD
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-2729
Practice Address - Country:US
Practice Address - Phone:215-852-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health