Individual
GRACE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 W ACOMA DR, PHOENIX, AZ 85053-5620
(602) 698-1902
(602) 698-1904
Mailing address
3445 W ACOMA DR, PHOENIX, AZ 85053-5620
(602) 698-1902
(602) 698-1904
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALM-011231
AZ
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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