NPI 1104745058
Gracie's Adult Care Home LLC
Practice location
- Address
- 326 Carnelia St SE, Salem, OR 97306-2077
- Phone
- (971) 239-2000
- Fax
- (503) 339-7927
- Mailing address
- 4841 Ranger Ave NE, Salem, OR 97305-4141
Authorised official
- Name
- Lisa Elizabeth Brundidge
- Title
- Owner
- Phone
- (971) 239-2000
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1104745058
- Entity type
- Organization
- NPI issued
- 14 Jul 2026
- Record last updated
- 14 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.