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NPI Code Detail

MEDICARE: GRACEFUL NURSES, LLC

MEDICARE: GRACEFUL NURSES, 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
1251J00000XNursing Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1326934662
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACEFUL NURSES, LLC
Provider Business Mailing Address
First Line : 32640 THORNCASTLE DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33545-2359
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 32640 THORNCASTLE DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33545-2359
Country : US
Telephone Number : 813-729-2176
Fax Number :
Authorized Official
Title or Position : CEO
Name : KATRINA WILLIS
Credential :
Telephone Number : 813-729-2176
Provider Enumeration Date : 06/13/2025
Last Update Date : 06/13/2025

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Directions to “GRACEFUL NURSES, LLC ” Practice Location

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