| NPI | 1396830709 |
|---|---|
| Doing Business As | GRACE MANOR CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID BRUCE BEARDSLEY Owner 423-336-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 0066) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-03-03 |