St Grace Manor, INC
NPI #1588013528 in Upland, California
Provider Information
- NPI Number
- 1588013528
- Entity Type
- Organization
- Organization Name
- St Grace Manor, INC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 10, 2016
- Last Updated
- Jun 10, 2016
Practice Location
- Address
- 804 W 8TH ST
- City
- Upland
- State
- California
- ZIP Code
- 91786-6401
- Phone
- (951) 545-4462
Authorized Official
- Name
- MRS. KATHLEEN JANET HAYWOOD, N/A
- Title
- ADMINISTRATOR
- Phone
- (951) 545-4462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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