NPI 1144851965
Graced Care Providers, L.L.C.
Practice location
- Address
- 20225 Vintage Oaks Pl, Tampa, FL 33647-3286
- Phone
- (813) 464-9411
Authorised official
- Name
- Aireonna K Bailey
- Title
- Owner
- Phone
- (813) 464-9411
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1144851965
- Entity type
- Organization
- NPI issued
- 30 Jan 2020
- Record last updated
- 30 Jan 2020
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.