NPI | 1235736067 |
---|---|
Doing Business As | GRACE AT HOME |
Entity Type | Organization |
Authorized Contact | RODNEY C ARMSTEAD CEO 310-418-7250 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-10-05 |
Last Update Date | 2024-10-31 |