# GRACE HOME ASSISTED LIVING 1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Home Assisted Living 2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760916407
- **Authorized official:** NORMA BRAGA (OWNER)
- **Authorized official phone:** (520) 312-0225

## Contact information

- **Practice address:** 2301 S QUAIL HOLLOW DR, TUCSON, AZ 85710-7986
- **Practice address phone:** (520) 312-0225
- **Practice address fax:** (520) 207-2223
- **Mailing address:** 2261 S QUAIL HOLLOW DR, TUCSON, AZ 85710-7982
- **Mailing address phone:** (520) 312-0225
- **Mailing address fax:** (520) 207-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | AL6571H | AZ | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | AL6571H | AZ | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | AL6571-H | AZ | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | AL7454H | AZ | — |
| 3747A0650X | Attendant Care Provider | AL7454-H | AZ | — |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 04/19/2017