Organization · Type 2 NPI

Grace Assisted Living of Douglasville, LLC

Point of Service · Douglasville, GA

NPI number 1265638910 Active

Practice location

8847 Hospital Dr
Douglasville, GA 30134-2267

Fax (770) 489-8173

Mailing address

78 Centennial Loop
Eugene, OR 97401-7900

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1265638910

Grace Assisted Living of Douglasville, LLC's National Provider Identifier is 1265638910, issued on Jun 21, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Douglasville, GA. The record was last updated on May 13, 2008.