Organization
MISSION GRACE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS EMANUEL BURZ (MANAGER)
(623) 343-3460
Entity
Organization
Contact information
Practice address
2020 W CALLE DEL SOL, PHOENIX, AZ 85085-7086
(623) 343-3460
Mailing address
2020 W CALLE DEL SOL, PHOENIX, AZ 85085-7086
(623) 343-3460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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