Organization
GRACE COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDEN FANTAHUN (ADMINISTRATOR)
(720) 646-6281
Entity
Organization
Contact information
Practice address
24238 E ARAPAHOE PL, AURORA, CO 80016-4138
(720) 646-6281
Mailing address
24238 E ARAPAHOE PL, AURORA, CO 80016-4138
(720) 646-6281
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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