| NPI | 1982263968 |
|---|---|
| Former Legal Business Name | GRACE HEALTHCARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRIDGET NKUMBE Director 703-278-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-10-07 |