| NPI | 1013397850 |
|---|---|
| Doing Business As | THE INN AT AGING GRACE |
| Entity Type | Organization |
| Authorized Contact | COREY LENNARD BRADFORD Owner 904-237-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12669) |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2015-06-07 |