Healthcare Provider Details

I. General information

NPI: 1982382909
Provider Name (Legal Business Name): GRATEFUL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 SUGARLOAF PKWY STE 200
DULUTH GA
30097-4329
US

IV. Provider business mailing address

6340 SUGARLOAF PKWY
DULUTH GA
30097-4333
US

V. Phone/Fax

Practice location:
  • Phone: 404-912-4140
  • Fax: 404-410-0477
Mailing address:
  • Phone: 404-912-4140
  • Fax: 404-410-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS EDILTRUDES WARD
Title or Position: OWNER
Credential:
Phone: 470-354-5013