GRACE COTTAGE - NPI 1760710206 - Intermediate Care Facility, Intellectual Disabilities in Livingston, CA

Q: What is the provider's specialty?

The provider's specialty is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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About Grace Cottage NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE COTTAGE (NPI 1760710206) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Livingston, California and active in the NPI registry since November 2009. The organization lists Alice Louise Wall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760710206

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameGRACE COTTAGE

Location Address1616 2ND STLivingston, CA 95334-1247

Mailing Address1616 2nd StLivingston, CA 95334-1247 · (209) 394-9676 · Fax (209) 394-7694

Phone(209) 394-9676

Fax(209) 394-7694

Organization SubpartNo

Authorized OfficialAlice Louise WallAdministrator · (209) 394-7696

Enumeration DateNovember 20, 2009

✔ NPI 1760710206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in CA · 550001115

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1616 2ND ST, Livingston, CA 95334

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Frequently Asked Questions

What is GRACE COTTAGE's NPI number?

The NPI number assigned to this healthcare provider is 1760710206, enumerated as an "organization" on November 20, 2009.

Where is the provider located?

The provider is located at 1616 2ND ST LIVINGSTON, CA 95334 and the phone number is (209) 394-9676.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.