Graceland Homes, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Arlington, TX. Organization (NPI-2).
NPI number1043733231
StatusActive
Last updated in NPPESAug 3, 2017
Details
- NPI
- 1043733231
- Entity type
- Organization (NPI-2)
- Legal business name
- Graceland Homes, LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2017
- Last updated
- Aug 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
603 Ambarella StreetArlington, TX 76002-7600
Phone 817-962-9529
Mailing address
603 Ambarella StArlington, TX 76002-4505
Phone 817-962-9529
Authorized official
Angie Lanea Grove
Program Manager/Ceo
8179629526
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