Organization
GRACE HOME AND HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGATHA MANJOE TUMBEY (PARTNER)
(763) 210-8340
Entity
Organization
Contact information
Practice address
1001 LYNDE DR NE, FRIDLEY, MN 55432-5740
(763) 210-8340
Mailing address
1001 LYNDE DR NE, FRIDLEY, MN 55432-5740
(763) 210-8340
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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