| NPI | 1780101808 |
|---|---|
| Doing Business As | MCLELLAN HOUSE OF GRACE FULL-CARE, LLC. |
| Entity Type | Organization |
| Authorized Contact | ADRIANA HERNANDEZ Administrator 602-380-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH5213) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |