Willow Grace Homecare LLC

NPI #1710793229 in Antioch, Tennessee

Provider Information

NPI Number: 1710793229
Entity Type: Organization
Organization Name: Willow Grace Homecare LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Dec 9, 2024
Last Updated: Dec 9, 2024

Practice Location

Address: 1445 EAGLE VIEW BLVD
Address 2: #649
City: Antioch
State: Tennessee
ZIP Code: 37013
Phone: (615) 522-5018

Authorized Official

Name: ADAUGO AGUZIE
Title: OWNER
Phone: (443) 303-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child	385HR2065X
In Home Supportive Care	253Z00000X	Primary

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