Organization
GRACE SENIOR LIVING, LLC
Active
Other names
Grace House
Organization subpart
No
Provider details
NPI number
Authorized official
LEONA JAMES (OWNER/ADMINISTRATOR)
(772) 812-8749
Entity
Organization
Contact information
Practice address
6755 NW MONOCO CT, PORT ST LUCIE, FL 34983-5339
(772) 812-8749
Mailing address
6755 NW MONOCO CT, PORT ST LUCIE, FL 34983-5339
(772) 812-8749
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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