Grace Community Care LLC

NPI #1942852561 in Aurora, Colorado

Provider Information

NPI Number: 1942852561
Entity Type: Organization
Organization Name: Grace Community Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 13, 2019
Last Updated: Jul 13, 2019

Practice Location

Address: 24238 E ARAPAHOE PL
City: Aurora
State: Colorado
ZIP Code: 80016-4138
Phone: (720) 646-6281

Authorized Official

Name: EDEN FANTAHUN
Title: ADMINISTRATOR
Phone: (720) 646-6281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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