| NPI | 1154564946 |
|---|---|
| Professional Name | GRACE HOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2010-04-27 |