| NPI | 1114264538 |
|---|---|
| Doing Business As | GRACEVILLE SENIORS CLUB |
| Entity Type | Organization |
| Authorized Contact | MALIK N. ABID President & C.E.O 516-743-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |