Extended Grace Home Care Services LLC

NPI #1104397397 in Lorain, Ohio

Provider Information

NPI Number: 1104397397
Entity Type: Organization
Organization Name: Extended Grace Home Care Services LLC
Primary Specialty: Home Health
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 1905 N RIDGE RD E STE D
City: Lorain
State: Ohio
ZIP Code: 44055-3344
Phone: (440) 412-9279

Authorized Official

Name: YALESIA N COOPER
Title: OWNER
Phone: (440) 453-8981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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