| NPI | 1144851965 |
|---|---|
| Other Name | GRACED CARE PROVIDERS, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | AIREONNA K BAILEY Owner 813-464-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |