Organization · Type 2 NPI

Grace Assisted Living, LLC

Assisted Living Facility · Port Charlotte, FL

NPI number 1194177097 Active

Practice location

22091 Peachland Blvd
Port Charlotte, FL 33954-3352

Fax (941) 621-4975

Mailing address

16658 San Edmundo Rd
Punta Gorda, FL 33955-4040

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL12849 (FL)
Assisted Living Facility (Mental Illness) 3104A0625XAL12849 (FL)

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.

2 other providers at this address

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About NPI 1194177097

Grace Assisted Living, LLC's National Provider Identifier is 1194177097, issued on Jul 5, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jul 5, 2016.