Organization
HOUSE OF GRACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA OWENS (OWNER)
(775) 379-3850
Entity
Organization
Contact information
Practice address
2881 S SANDHILL RD APT 101, LAS VEGAS, NV 89121
(775) 379-3850
Mailing address
2881 S SANDHILL RD APT 101, LAS VEGAS, NV 89121-1741
(775) 379-3850
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
08/30/2018
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