| NPI | 1003798976 |
|---|---|
| Doing Business As | GRACIOUS HOME ADHC OF SOUTHBOROUGH |
| Entity Type | Organization |
| Authorized Contact | LEI JING Manager 718-607-5612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |