Healthcare Provider Details

I. General information

NPI: 1841810710
Provider Name (Legal Business Name): GRACEFULLY MEEK HOMEMAKER & COMPANION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 SW 6TH ST
CHIEFLAND FL
32626-0415
US

IV. Provider business mailing address

319 SW 6TH ST
CHIEFLAND FL
32626-0415
US

V. Phone/Fax

Practice location:
  • Phone: 352-215-3268
  • Fax:
Mailing address:
  • Phone: 352-215-3268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHAMEKA MOBLEY
Title or Position: OWNER
Credential:
Phone: 352-215-3268