Organization
GRACE RETIREMENT VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK T. DOAN (ADMINISTRATOR)
(714) 227-9220
Entity
Organization
Contact information
Practice address
1100 E WHITTIER BLVD, LA HABRA, CA 90631-3962
(562) 694-6515
Mailing address
1100 E WHITTIER BLVD, LA HABRA, CA 90631-3962
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
03/11/2022
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