Organization
GRACE HOUSE OF BATON ROUGE, INC.
Active
Other names
Grace Community Living Adult Day Program, Grace at Home Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY BROWN (EXECUTIVE DIRECTOR)
(225) 993-0486
Entity
Organization
Contact information
Practice address
9800 AIRLINE HWY STE 105, BATON ROUGE, LA 70816-8000
(225) 993-0486
Mailing address
PO BOX 485, BAKER, LA 70704-0485
(225) 955-1707
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XX00000
OTHER
LA
Enumeration date
11/10/2020
Last updated
11/26/2024
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