Grace Senior Living, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port St Lucie, FL. Organization (NPI-2).
Details
- NPI
- 1750168977
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Senior Living, LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 11, 2023
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Grace Home (Doing Business As)
Practice location
2317 Sw Webster LnPort St Lucie, FL 34953-5752
Phone 772-812-8749 · Fax 772-255-2780
Mailing address
2317 Sw Webster LnPort St Lucie, FL 34953-5752
Phone 772-812-8749 · Fax 772-255-2780
Authorized official
Leona C James
Administrator
7728128749
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All 9 Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Port St Lucie · All 3,747 providers in Port St Lucie
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