Grace Estates LLC
Clinic/Center, Adult Day Care in Waukee, IA. Organization (NPI-2).
NPI number1275211971
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1275211971
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Estates LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2023
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
801 Ne Venture DrWaukee, IA 50263-9411
Phone 515-415-4348 · Fax 515-864-0223
Mailing address
801 Ne Venture DrWaukee, IA 50263-9411
Phone 515-415-4348 · Fax 515-864-0223
Authorized official
David Baker
Managing Partner
7638982053
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