NPI | 1306319884 |
---|---|
Doing Business As | GRACE OF MONACO SECTION 10 |
Entity Type | Organization |
Authorized Contact | GRACE G GARCIA Facility Representative 702-232-4602 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility |
Enumeration Date | 2019-01-07 |
Last Update Date | 2019-01-07 |