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Grace Assisted Living, Llc
Assisted Living Facility (Mental Illness) in Port Charlotte, Florida
NPI 1194177097

Grace Assisted Living, Llc is an Assisted Living Facility (Mental Illness) based in Punta Gorda, FL and is specialized in Assisted Living, Mental Illness. Grace Assisted Living, Llc practices in Port Charlotte, FL. The NPI Number for Grace Assisted Living, Llc is 1194177097 and holds a License No. AL12849 (Florida).

The current practice location address for Grace Assisted Living, Llc is 22091 Peachland Blvd, Port Charlotte, FL and can be reached out via phone at 941-766-7178 and via fax at 941-621-4975. You can also correspond with Grace Assisted Living, Llc through the mailing address at 16658 SAN EDMUNDO RD, PUNTA GORDA, FL - 33955-4040 (mailing address contact number: 646-220-6106).

Location: 22091 Peachland Blvd, Port Charlotte, FL, 33955-4040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194177097
Provider Name
Grace Assisted Living, Llc
Credential
Provider Entity Type
Organization
Address
22091 Peachland Blvd, Port Charlotte, FL, 33955-4040
Phone Number
941-766-7178
Fax Number
941-621-4975
Provider Enumeration Date
07/05/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
22091 Peachland Blvd
City
Port Charlotte
State
Florida
Zip
33954-3352
Phone Number
941-766-7178
Fax Number
941-621-4975
person
Provider Business Mailing Address Details
Address
22091 Peachland Blvd
City
Port Charlotte
State
Florida
Zip
33954-3352
Phone Number
941-766-7178
Fax Number
941-621-4975
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL12849 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
AL12849 (Florida)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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