Organization
GRACE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY SPAIGHT (BASIC SKILLS TRAINER)
(702) 501-7607
Entity
Organization
Contact information
Practice address
3260 FOUNTAIN FALLS WAY UNIT 2128, NORTH LAS VEGAS, NV 89032-2236
(702) 501-7607
Mailing address
3260 FOUNTAIN FALLS WAY UNIT 2128, NORTH LAS VEGAS, NV 89032-2236
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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