Organization
GORDONS GRACE II CO.
Active
Other names
Gordons Grace II
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA GORDON (ADMINISTRATOR)
(323) 599-0269
Entity
Organization
Contact information
Practice address
524 W 104TH ST, LOS ANGELES, CA 90044-4402
(323) 599-0269
Mailing address
524 W 104TH ST, LOS ANGELES, CA 90044-4402
(323) 599-0269
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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