Organization
GRACEFUL GROVE LLC
Active
Other names
Graceful Grove
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KLAPP (OWNER)
(702) 606-1993
Entity
Organization
Contact information
Practice address
4240 AL CARRISON ST, LAS VEGAS, NV 89129-4845
(702) 606-1993
Mailing address
4240 AL CARRISON ST, LAS VEGAS, NV 89129-4845
(702) 606-1993
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
—
—
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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