# GRACY WOODS HEALTHCARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Gracy Woods II Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013321579
- **Authorized official:** MENDY SHAPIRO (MANAGER)
- **Authorized official phone:** (732) 961-9000

## Contact information

- **Practice address:** 12042 BITTERN HOLW, AUSTIN, TX 78758-3350
- **Practice address phone:** (512) 730-2100
- **Mailing address:** 410 MONMOUTH AVE, SUITE 130, LAKEWOOD, NJ 08701-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 06/12/2014
- **Last updated:** 12/01/2016