| NPI | 1467260877 |
|---|---|
| Other Name | GORDON'S GRACE LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA B GORDON Administrator 323-599-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |