Organization
GRACE CARE HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN LEMOTT JEMISON (OWNER/PROVIDER)
(503) 999-0404
Entity
Organization
Contact information
Practice address
1205 BARNES AVE SE, SALEM, OR 97306-1539
(503) 391-4881
(888) 234-7134
Mailing address
PO BOX 5418, SALEM, OR 97304-0418
(503) 999-0404
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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