| NPI | 1629601612 |
|---|---|
| Former Legal Business Name | GRACE REHAB CENTER CORP |
| Entity Type | Organization |
| Authorized Contact | TATIANA CENTER JOHNSON President 831-419-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |