| NPI | 1093247470 |
|---|---|
| Doing Business As | GRACE'S HOME 1 |
| Entity Type | Organization |
| Authorized Contact | MAGALY QUINTEROS Administrator 714-673-4573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 306003832) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |