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
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | AL12849 (FL) |
| Assisted Living Facility (Mental Illness) | 3104A0625X | AL12849 (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.