Whalio Doctors

NPI 1144851965

Graced Care Providers, L.L.C.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Tampa, FL

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
Residential Treatment Facilities Taxonomy 320900000X

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.