Healthcare Provider Details

I. General information

NPI: 1407711534
Provider Name (Legal Business Name): BY GRACE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8245 SWIFT RD NW
WAYNESBURG OH
44688-9603
US

IV. Provider business mailing address

8245 SWIFT RD NW
WAYNESBURG OH
44688-9603
US

V. Phone/Fax

Practice location:
  • Phone: 330-371-9211
  • Fax: 330-371-9211
Mailing address:
  • Phone: 330-371-9211
  • Fax: 330-371-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PATSY N GRAY
Title or Position: OWNER
Credential: DOO
Phone: 330-371-9211