Organization
GRACED CARE PROVIDERS, L.L.C.
Active
Other names
Graced Care Providers, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
AIREONNA K BAILEY (OWNER)
(813) 464-9411
Entity
Organization
Contact information
Practice address
20225 VINTAGE OAKS PL, TAMPA, FL 33647-3286
(813) 464-9411
Mailing address
20225 VINTAGE OAKS PL, TAMPA, FL 33647-3286
(813) 464-9411
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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