| NPI | 1629735030 |
|---|---|
| Doing Business As | GRACE MANOR |
| Entity Type | Organization |
| Authorized Contact | LEONA JAMES Administrator 772-812-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |