NPI | 1265186381 |
---|---|
Doing Business As | GORDONS GRACE II |
Entity Type | Organization |
Authorized Contact | MELISSA GORDON Administrator 323-599-0269 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
Enumeration Date | 2022-02-08 |
Last Update Date | 2022-02-08 |