Organization
GRACE MOUNTAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MARIE THOMSON (DIRECTOR)
(602) 481-7244
Entity
Organization
Contact information
Practice address
9152 KENWOOD CT, HIGHLANDS RANCH, CO 80126-3425
(602) 481-7244
Mailing address
8200 S QUEBEC ST STE A3-789, CENTENNIAL, CO 80112-4411
(602) 481-7244
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/07/2020
Last updated
04/25/2025
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