Organization · Type 2 NPI
Gracey Manor LLC
Assisted Living Facility · Loganville, GA
NPI number
1194033894
Active
Practice location
3400 Youth Monroe Rd
Loganville, GA 30052-4327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 147010191 (GA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Loganville
About NPI 1194033894
Gracey Manor LLC's National Provider Identifier is 1194033894, issued on Sep 16, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Loganville, GA. The record was last updated on Sep 16, 2010.