Organization
GRACEVILLA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRILOCHAN SINGH (COO)
(510) 468-1909
Entity
Organization
Contact information
Practice address
1201 WALNUT AVE, LONG BEACH, CA 90813-3822
(562) 591-7621
(562) 591-3292
Mailing address
540 W. MOTE VISTA AVE, VACAVILLE, CA 95688-3620
(707) 449-3400
(707) 450-0954
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940000173
CA
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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