Mother of Grace LLC

NPI #1548807142 in Taylor, Michigan

Provider Information

NPI Number: 1548807142
Entity Type: Organization
Organization Name: Mother of Grace LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Dec 3, 2019
Last Updated: Dec 3, 2019

Practice Location

Address: 7947 TULANE ST
City: Taylor
State: Michigan
ZIP Code: 48180-2321
Phone: (231) 715-2383

Authorized Official

Name: ANGELA ONUAWUCHI ASI
Title: PROVIDER
Phone: (734) 560-6541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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