Organization
GRACE ADULT FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE DAVIS WEATHERSPOON (OWNER/OPERATOR)
(239) 248-8167
Entity
Organization
Contact information
Practice address
1714 52ND TER SW, NAPLES, FL 34116-5652
(239) 248-8167
(239) 455-7757
Mailing address
1714 52ND TER SW, NAPLES, FL 34116-5652
(239) 248-8167
(239) 455-7757
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906467
FL
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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