Grace Cottage
NPI #1760710206 in Livingston, California
Provider Information
- NPI Number
- 1760710206
- Entity Type
- Organization
- Organization Name
- Grace Cottage
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 20, 2009
- Last Updated
- Nov 20, 2009
Practice Location
- Address
- 1616 2ND ST
- City
- Livingston
- State
- California
- ZIP Code
- 95334-1247
- Phone
- (209) 394-9676
Authorized Official
- Name
- MS. ALICE LOUISE WALL
- Title
- ADMINISTRATOR
- Phone
- (209) 394-7696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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