| Organization Name: | GRACE REGIONAL MEDICAL CARE L.L.C. |
| NPI Number: | 1194077065 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHACON DRAKEFORD (CEO) |
| Mailing Address: | 409 Tapestry Park Dr Unit 826 Chesapeake |
| State: | VA US |
| Postal Code: | 233205060 |
| Phone Number: | 7575023402 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2012 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 0001212360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |