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NPI Code Detail

MEDICARE: GINA GRACING MINNIE LLC

MEDICARE: GINA GRACING MINNIE 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1447107222
Entity Type Code : Organization
Provider Name (Legal Business Name) : GINA GRACING MINNIE LLC
Provider Business Mailing Address
First Line : 476 BLAIRE RD APT 2
Second Line :
City : BLAIRSVILLE
State : PA
Zip : 15717-8835
Country : US
Telephone Number : 412-927-7672
Fax Number :
Provider Business Practice Location Address
First Line : 2224 HIGH WHEEL DR APT 318
Second Line :
City : XENIA
State : OH
Zip : 45385-5392
Country : US
Telephone Number : 412-901-1980
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : MS. MONICA L DENT
Credential : CERTIFIED NURSE AIDE
Telephone Number : 412-927-9276
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “GINA GRACING MINNIE LLC ” Practice Location

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