Grace Home I
NPI #1528143476 in Orangevale, California
Provider Information
- NPI Number
- 1528143476
- Entity Type
- Organization
- Organization Name
- Grace Home I
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jun 25, 2008
Practice Location
- Address
- 5801 PECAN AVE
- City
- Orangevale
- State
- California
- ZIP Code
- 95662-4622
- Phone
- (916) 988-6502
Authorized Official
- Name
- MRS. GLORIA JACINTO IBANEZ, R.N.
- Title
- ADMINISTRATOR
- Phone
- (916) 989-2184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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