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General NPI Number Information
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NPI Number | 1558205898
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Entity Type | Organization
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Legal Business Name | GRACEFUL HEALING HOME CARE INC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 2140 MCGEE RD STE C550B
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City | SNELLVILLE
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State | GA
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Zip | 30078-7006
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Country | US
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Telephone | 404-465-3344
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Fax | 800-494-1393
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Provider Business Mailing Address
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Address Line | 2140 MCGEE RD STE C550B
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City | SNELLVILLE
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State | GA
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Zip | 30078-7006
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Country | US
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Telephone | 404-465-3344
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Fax | 800-494-1393
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DANA BOATWRIGHT BOATWRIGHT
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Credential | MBA
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Telephone | 800-494-1393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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