Organization
GRACELAND HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE LANEA GROVE (PROGRAM MANAGER/CEO)
(817) 962-9526
Entity
Organization
Contact information
Practice address
603 AMBARELLA STREET, ARLINGTON, TX 76002-7600
(817) 962-9529
Mailing address
603 AMBARELLA ST, ARLINGTON, TX 76002-4505
(817) 962-9529
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
08/03/2017
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