1760916407 GRACE HOME ASSISTED LIVING 1

Physical Disabilities Residential Treatment Facility

Active

Basic Information

Organization Name
GRACE HOME ASSISTED LIVING 1
Enumeration Date
April 19, 2017
Last Update
April 19, 2017
Authorized Official
NORMA BRAGA
OWNER
Phone: (520) 312-0225

Practice Location

Address
2301 S QUAIL HOLLOW DR
TUCSON, AZ 857107986
Phone
(520) 312-0225
Fax
(520) 207-2223

Mailing Address

Address
2261 S QUAIL HOLLOW DR
TUCSON, AZ 857107982
Phone
(520) 312-0225
Fax
(520) 207-2223

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Mental Health Clinic/Center
Adult Mental Health
261QM0850X Clinic/Center AL6571H AZ No
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities AL6571-H AZ No
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities AL7454H AZ No
Attendant Care Provider
Attendant Care Provider
3747A0650X Technician AL7454-H AZ No
Physical Disabilities Residential Treatment Facility
320700000X Residential Treatment Facility, Physical Disabilities AL6571H AZ Primary

Other Identifiers

Identifier Type State Issuer
95188554F13239 01 CA MEDICAID
0301305850 01 AZ AARP
85808889 01 AZ MEDICAID AND MUTUAL OF OMAHA
00416712603 01 AZ TRICARE PRIME INSURANCE
783517401 01 N/A MEDICAID AND AARP

Frequently Asked Questions

What is GRACE HOME ASSISTED LIVING 1's NPI number?
GRACE HOME ASSISTED LIVING 1's NPI number is 1760916407.
Which doctor has NPI number 1760916407?
The doctor with NPI number 1760916407 is GRACE HOME ASSISTED LIVING 1.
What is GRACE HOME ASSISTED LIVING 1's practice address?
GRACE HOME ASSISTED LIVING 1's practice address is 2301 S QUAIL HOLLOW DR, TUCSON, AZ, 857107986.
Which doctor practices at 2301 S QUAIL HOLLOW DR, TUCSON, AZ, 857107986?
GRACE HOME ASSISTED LIVING 1 practices at 2301 S QUAIL HOLLOW DR, TUCSON, AZ, 857107986.
What is GRACE HOME ASSISTED LIVING 1's mailing address?
GRACE HOME ASSISTED LIVING 1's mailing address is 2261 S QUAIL HOLLOW DR, TUCSON, AZ, 857107982.
What is GRACE HOME ASSISTED LIVING 1's phone number?
GRACE HOME ASSISTED LIVING 1's phone number is (520) 312-0225.
Who is (520) 312-0225?
(520) 312-0225 is the phone number for GRACE HOME ASSISTED LIVING 1.
What is GRACE HOME ASSISTED LIVING 1's specialty?
GRACE HOME ASSISTED LIVING 1's specialty is Physical Disabilities Residential Treatment Facility.
What type of doctor is GRACE HOME ASSISTED LIVING 1?
GRACE HOME ASSISTED LIVING 1 is a Physical Disabilities Residential Treatment Facility.
Is GRACE HOME ASSISTED LIVING 1 a Residential Treatment Facility, Physical Disabilities?
Yes, GRACE HOME ASSISTED LIVING 1 is a Residential Treatment Facility, Physical Disabilities.
Is GRACE HOME ASSISTED LIVING 1 still practicing?
Yes, GRACE HOME ASSISTED LIVING 1 is currently practicing.
Is GRACE HOME ASSISTED LIVING 1 accepting new patients?
GRACE HOME ASSISTED LIVING 1 may be accepting new patients. Please call their office at (520) 312-0225 to inquire about availability.
Is NPI 1760916407 still active?
Yes, NPI 1760916407 is currently active.
Where does GRACE HOME ASSISTED LIVING 1 practice?
GRACE HOME ASSISTED LIVING 1 practices in TUCSON, AZ.