| Grace Care Center | |
|
3260 Fountain Falls Way Unit 2128 North Las Vegas NV 89032-2236 | |
| (702) 501-7607 | |
| Not Available |
| Full Name | Grace Care Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3260 Fountain Falls Way Unit 2128, North Las Vegas, Nevada |
| Authorized Official Name and Position | Johnny Spaight (BASIC SKILLS TRAINER) |
| Authorized Official Contact | 7025017607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Care Center 3260 Fountain Falls Way Unit 2128 North Las Vegas NV 89032-2236 Ph: () - | Grace Care Center 3260 Fountain Falls Way Unit 2128 North Las Vegas NV 89032-2236 Ph: (702) 501-7607 |
| NPI Number | 1497007819 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497007819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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