| NPI | 1376722116 |
|---|---|
| Doing Business As | GRACE HEALTHCARE OF TUCKER |
| Entity Type | Organization |
| Authorized Contact | ALICE MARIE CLARK DANKS VP Of Finance 423-308-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 10441434) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-04-18 |