| NPI | 1841944899 |
|---|---|
| Other Name | GRANDPARENT HOME LLC |
| Entity Type | Organization |
| Authorized Contact | JUAN I LOPEZ Owner 210-315-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |