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NPI Code Detail

MEDICARE: GRACE HME AND SUPPLIES LLC

MEDICARE: GRACE HME AND SUPPLIES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1215692223
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACE HME AND SUPPLIES LLC
Provider Business Mailing Address
First Line : 2590 FERGUSON RD APT 9
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-2457
Country : US
Telephone Number : 513-485-8642
Fax Number :
Provider Business Practice Location Address
First Line : 2590 FERGUSON RD APT 9
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-2457
Country : US
Telephone Number : 513-485-8642
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MEKA TERRY
Credential :
Telephone Number : 513-485-8642
Provider Enumeration Date : 11/04/2021
Last Update Date : 02/20/2023

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Directions to “GRACE HME AND SUPPLIES LLC ” Practice Location

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