Organization
GRACE VILLA ALF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA HOWARD (ADMINISTRATOR/OWNER)
(407) 299-0946
Entity
Organization
Contact information
Practice address
1024 N JOHN ST, ORLANDO, FL 32808-7569
(407) 299-0946
(407) 299-9879
Mailing address
1024 N JOHN ST, ORLANDO, FL 32808-7569
(407) 299-0946
(407) 299-9879
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL7408
FL
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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