# GRACE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023190980
- **Authorized official:** MRS. GLORIA JACINTO IBANEZ R.N. (ADMINISTRATOR)
- **Authorized official phone:** (916) 989-2184

## Contact information

- **Practice address:** 9260 LOMA LN, ORANGEVALE, CA 95662-4216
- **Practice address phone:** (916) 989-2184
- **Practice address fax:** (916) 987-1555
- **Mailing address:** 9260 LOMA LN, ORANGEVALE, CA 95662-4216
- **Mailing address phone:** (916) 989-2184
- **Mailing address fax:** (916) 987-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 340314987 | CA | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 06/25/2008