Organization
GRACELAND HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIOME GUAR RN (MANAGER)
(763) 267-1979
Entity
Organization
Contact information
Practice address
6843 COLFAX AVE N, BROOKLYN CENTER, MN 55430
(763) 267-1979
Mailing address
6843 COLFAX AVE N, BROOKLYN CENTER, MN 55430
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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