| NPI | 1073349577 |
|---|---|
| Doing Business As | MILITIA OF GRACE ADULT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BJ T. BUCHANNON CEO/Owner 314-828-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-25 |