| NPI | 1649096041 |
|---|---|
| Doing Business As | GRACEFUL GROVE |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KLAPP Owner 702-606-1993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |