Grace in-Home Care

Organization Active NPI In Home Supportive Care Agency · Cloverdale, CA

NPI 1508394263 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1508394263
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
4234 (CA)
Legal business name
GRACE IN-HOME CARE
Practice address
125 Caldwell St
Cloverdale, CA 95425-3913
Phone
(707) 799-0404
NPI assigned
May 25, 2017
Organization subpart
No

Authorized official

Name
Capetu Gukisuva Sauvou
Title
Owner
Phone
(707) 799-0404

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 4234 CA Yes

Addresses

Primary practice location

125 Caldwell St
Cloverdale, CA 95425-3913

Mailing address

125 Caldwell St
Cloverdale, CA 95425-3913
Phone (707) 799-0404

Other providers in Cloverdale, CA

All providers in Cloverdale, CA · In Home Supportive Care Agency in California

Sources for this page

Verify at the official NPI Registry.