| NPI | 1871368753 |
|---|---|
| Doing Business As | GRACELEN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL RICKER Managing Member 503-887-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |