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Organization

GRACE COMMUNITY BASED ADULT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUBINA HAIRAPETIAN (ADMINISTRATOR)
(818) 441-1049
Entity
Organization

Contact information

Practice address
554 W LANCASTER BLVD, LANCASTER, CA 93534-2534
(818) 441-1049
Mailing address
554 W LANCASTER BLVD, LANCASTER, CA 93534-2534
(818) 441-1049

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QA0600X
Adult Day Care Clinic/Center
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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