| NPI | 1326532342 |
|---|---|
| Doing Business As | GRAYS ADULT FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | NICKIE GRAYS Owner 386-338-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-02-06 |