NPI 1144199688
Gift of Grace Residence
Practice location
- Address
- 126 W 46th St, Los Angeles, CA 90037-2722
- Phone
- (323) 400-9462
- Mailing address
- 611 Wilshire Blvd STE 900, Los Angeles, CA 90017-2905
Authorised official
- Name
- Kenisha Faniel
- Title
- Administrator
- Phone
- (323) 400-9462
Registered specialties (2)
Adult Care Home Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1144199688
- Entity type
- Organization
- NPI issued
- 3 Nov 2025
- Record last updated
- 3 Nov 2025
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.