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Organization

GRACE ASSISTED LIVING HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YENTOH EILEEN NFOR R.N. (OWNER)
(608) 228-4978
Entity
Organization

Contact information

Practice address
1309 MCKENNA BLVD UNIT 1313, MADISON, WI 53711-3259
(608) 228-4978
Mailing address
500 FALCON CIR UNIT 1, MONONA, WI 53716-3818
(608) 228-4978

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/06/2023
Last updated
02/06/2023
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