| NPI | 1700182235 |
|---|---|
| Doing Business As | GRACE HEALTHCARE OF LAKE WALES |
| Entity Type | Organization |
| Authorized Contact | ALICE MARIE CLARK DANKS VP Of Finance 423-308-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF12760961) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |