NPI | 1881800548 |
---|---|
Doing Business As | GRACY FARMS |
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 001012523) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2023-03-04 |