| NPI | 1750168977 |
|---|---|
| Doing Business As | GRACE HOME |
| Entity Type | Organization |
| Authorized Contact | LEONA C JAMES Administrator 772-812-8749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-14 |