Organization
GRACE PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY BROWN (CEO/ADMINISTRATOR)
(229) 241-8196
Entity
Organization
Contact information
Practice address
301 N FORREST ST, VALDOSTA, GA 31601-4838
(229) 241-8196
(229) 241-8196
Mailing address
301 N FORREST ST, VALDOSTA, GA 31601-4838
(229) 241-8196
(229) 241-8196
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
EIN
GA
Other
Enumeration date
07/07/2008
Last updated
07/21/2022
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