Organization
LADY OF GRACE, INC
Active
Other names
San Fernando Valley Adult Day Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH TUMARU PAJE (PRESIDENT)
(818) 831-6651
Entity
Organization
Contact information
Practice address
10351 BALBOA BLVD, GRANADA HILLS, CA 91344-7318
(818) 831-6651
(818) 831-9822
Mailing address
10351 BALBOA BLVD, GRANADA HILLS, CA 91344-7318
(818) 831-6651
(818) 831-9822
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70150F
—
CA
Enumeration date
05/15/2007
Last updated
09/04/2007
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