Organization
GRACE ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSEHAY GEZAHEGN (DIRECTOR)
(303) 960-0528
Entity
Organization
Contact information
Practice address
20695 MITCHELL PL, DENVER, CO 80249-6923
(303) 960-0528
Mailing address
20695 MITCHELL PL, DENVER, CO 80249-6923
(303) 960-0528
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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