Organization
GRACE CARE FAMILY HOME, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA GOMEZ (OWNER)
(305) 557-0800
Entity
Organization
Contact information
Practice address
4221 W 5TH LN, HIALEAH, FL 33012-3811
(305) 557-0800
Mailing address
4221 W 5TH LN, HIALEAH, FL 33012-3811
(305) 557-0800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10394
FL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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