St, Grace Hospice, Inc.
NPI #1164964383 in Montclair, California
Provider Information
- NPI Number
- 1164964383
- Entity Type
- Organization
- Organization Name
- St, Grace Hospice, Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Nov 7, 2016
- Last Updated
- Nov 7, 2016
Practice Location
- Address
- 4440 FAUNA ST
- City
- Montclair
- State
- California
- ZIP Code
- 91763-3523
- Phone
- (951) 545-4462
Authorized Official
- Name
- MRS. KATHLEEN JANET HAYWOOD
- Title
- ADMINISTRATOR
- Phone
- (951) 545-4462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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