Organization
GRACIOUS LIVING HOMES OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN WALL (CEO/ADMINISTRATOR)
(805) 680-4915
Entity
Organization
Contact information
Practice address
2796 FOOTHILL RD, SANTA BARBARA, CA 93105-2902
(805) 563-4502
(805) 617-3233
Mailing address
2796 FOOTHILL RD, SANTA BARBARA, CA 93105-2902
(805) 563-4502
(805) 617-3233
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
425801498
CA
311500000X
Alzheimer Center (Dementia Center)
425801505
CA
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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