Organization
GRACES PALACES
Active
Other names
graces palaces
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL NEWTON (ADMINISTRATOR)
(772) 626-6161
Entity
Organization
Contact information
Practice address
1198 SE PETUNIA AVE, PORT ST LUCIE, FL 34952-5323
(772) 353-5235
(772) 398-4238
Mailing address
1198 SE PETUNIA AVE, PORT ST LUCIE, FL 34952-5323
(772) 353-5235
(772) 398-4238
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12295
FL
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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