Organization
GRACE REHAB CENTER CORP
Active
Organization
GRACE REHAB CENTER CORP
Active
Other names
Grace Rehab Center Corp
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA CENTER JOHNSON (PRESIDENT)
(831) 419-1117
Entity
Organization
Contact information
Practice address
9599 W CHARLESTON BLVD, LAS VEGAS, NV 89117-6654
(831) 419-1117
Mailing address
9599 W CHARLESTON BLVD APT 2048, LAS VEGAS, NV 89117-6663
(831) 419-1117
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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