# GRACEVILLA,INC

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

## Provider details

- **NPI number:** 1396161261
- **Authorized official:** TRILOCHAN SINGH (COO)
- **Authorized official phone:** (510) 468-1909

## Contact information

- **Practice address:** 1201 WALNUT AVE, LONG BEACH, CA 90813-3822
- **Practice address phone:** (562) 591-7621
- **Practice address fax:** (562) 591-3292
- **Mailing address:** 540 W. MOTE VISTA AVE, VACAVILLE, CA 95688-3620
- **Mailing address phone:** (707) 449-3400
- **Mailing address fax:** (707) 450-0954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 940000173 | CA | Yes |

## Other

- **Enumeration date:** 03/14/2014
- **Last updated:** 03/14/2014