Organization
GRACE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY JUNG (BOARD MEMBER)
(424) 299-0643
Entity
Organization
Contact information
Practice address
1730 LEWIS AVE, LAS VEGAS, NV 89101-5233
(424) 299-0643
Mailing address
1730 LEWIS AVE, LAS VEGAS, NV 89101-5233
(424) 299-0643
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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