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Organization

GRAPHILJEN HOMES LLC

Active
Other names
Grace Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NELIA LASTIMADO NEBRE RCFE ADMINISTRATOR (FACILITY ADMINISTRATOR)
(925) 706-9922
Entity
Organization

Contact information

Practice address
3744 PINTAIL DR, ANTIOCH, CA 94509-6461
(925) 706-9922
(925) 978-4377
Mailing address
3744 PINTAIL DR, ANTIOCH, CA 94509-6461
(925) 706-9922
(925) 978-4377

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
075601446
CA

Other

Enumeration date
04/24/2014
Last updated
04/24/2014
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