| NPI | 1437247129 |
|---|---|
| Doing Business As | GRACE LODGE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN E. WOOTEN Administrator 434-528-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA RO06002) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA NH2561) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |