| NPI | 1699072884 |
|---|---|
| Other Name | GRACE SUPPORTIVE LIVING SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | LANTONA T THORNTON Director 414-336-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |