Organization
GORDON'S GRACE LLC
Active
Other names
GORDON'S GRACE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA B GORDON (ADMINISTRATOR)
(323) 599-0269
Entity
Organization
Contact information
Practice address
616 E 92ND ST, LOS ANGELES, CA 90002-1629
(323) 599-0269
Mailing address
PO BOX 2202, PASADENA, CA 91102-2202
(323) 599-0269
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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