Organization
GRACE FULL-CARE, LLC.
Active
Other names
McLellan House of Grace Full-Care, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA HERNANDEZ (ADMINISTRATOR)
(602) 380-8243
Entity
Organization
Contact information
Practice address
833 W MCLELLAN RD, MESA, AZ 85201-2017
(602) 380-8243
Mailing address
1237 S VAL VISTA DR, MESA, AZ 85204-6401
(480) 390-0660
(480) 396-0532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH5213
AZ
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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