Organization
THY GRACE CARE LLC
Active
Organization
THY GRACE CARE LLC
Active
Parent organization
THY GRACE CARE LLC
Other names
THY GRACE CARE 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
THY GRACE CARE LLC
Authorized official
GRACE GYAN (OWNER/ADMINISTRATOR)
(614) 432-4351
Entity
Organization
Contact information
Practice address
37728 W SAN CAPISTRANO AVE, MARICOPA, AZ 85138-5422
(614) 432-4351
Mailing address
36019 W SAN CLEMENTE AVE, MARICOPA, AZ 85138-2118
(614) 432-4351
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
11/03/2024
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