Organization
GRACE MANOR RET INC
Active
Parent organization
NONE
Other names
none
Organization subpart
Yes
Provider details
NPI number
Legal business name
NONE
Authorized official
MR. HAFEEZ R ALI (ADMINISTRATOR)
(407) 895-8418
Entity
Organization
Contact information
Practice address
321 E HARVARD ST, ORLANDO, FL 32804-5526
(407) 895-8418
(407) 895-8229
Mailing address
321 E HARVARD ST, ORLANDO, FL 32804-5526
(407) 895-8418
(407) 895-8229
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8445
FL
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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