| NPI | 1033720313 |
|---|---|
| Doing Business As | PRCN GRACE FAMILY |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2021-06-09 |