Organization
GRACE AT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS AYEGA (DIRECTOR)
(952) 564-4167
Entity
Organization
Contact information
Practice address
3124 65TH AVE N, BROOKLYN CENTER, MN 55429-2243
(952) 564-4167
Mailing address
14513 OXBOW CT, DAYTON, MN 55327-4416
(952) 564-4167
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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