Double Zero LLC New Grace
NPI #1114742343 in Lacey, Washington
Provider Information
- NPI Number
- 1114742343
- Entity Type
- Organization
- Organization Name
- Double Zero LLC New Grace
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 21, 2024
- Last Updated
- Nov 21, 2024
Practice Location
- Address
- 1507 LEBANON ST SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-2750
- Phone
- (206) 581-8452
Authorized Official
- Name
- EMMALINE WANJIKU NJOROGE, CNA
- Title
- PROVIDER
- Phone
- (206) 581-8452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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