Graceful Living Home Care LLC

Organization Active NPI Home Health Agency · Woodbury, MN

NPI 1447483003 · NPPES record last updated Aug 31, 2009

Key facts

NPI
1447483003
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
345982 (MN)
Legal business name
GRACEFUL LIVING HOME CARE LLC
Practice address
6043 Hudson Rd Ste 140K
Woodbury, MN 55125-1030
Phone
(651) 705-7212
Fax
(888) 603-8429
NPI assigned
Aug 31, 2009
Organization subpart
No

Authorized official

Name
Mr. Barry J Siebert
Title
Owner
Phone
(651) 705-7212

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 345982 MN Yes

Addresses

Primary practice location

6043 Hudson Rd Ste 140K
Woodbury, MN 55125-1030

Mailing address

6043 Hudson Rd Ste 140K
Woodbury, MN 55125-1030
Phone (651) 705-7212

Other providers in Woodbury, MN

All providers in Woodbury, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.