Organization
HOUSE OF GRACE 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AQUIRRE (OWNER)
(626) 716-1033
Entity
Organization
Contact information
Practice address
2815 E MESA DR, WEST COVINA, CA 91791-2223
(626) 716-1033
Mailing address
2815 E MESA DR, WEST COVINA, CA 91791-2223
(626) 716-1033
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
02/25/2021
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