Gracey Manor LLC
NPI #1194033894 in Loganville, Georgia
Provider Information
- NPI Number
- 1194033894
- Entity Type
- Organization
- Organization Name
- Gracey Manor LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 16, 2010
- Last Updated
- Sep 16, 2010
Practice Location
- Address
- 3400 YOUTH MONROE RD
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-4327
- Phone
- (770) 466-1535
Authorized Official
- Name
- MRS. SHAUNDELL BLEGE
- Title
- ON SITE MANAGER
- Phone
- (404) 889-7145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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