| NPI | 1760916407 |
|---|---|
| Doing Business As | GRACE HOME ASSISTED LIVING 2 |
| Entity Type | Organization |
| Authorized Contact | NORMA BRAGA Owner 520-312-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ AL6571H) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ AL6571H) |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: AZ AL6571-H) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: AZ AL7454H) | |
| 3747A0650X Technician Attendant Care Provider (Licence: AZ AL7454-H) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |