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St Grace Manor, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Upland, California
NPI 1588013528

St Grace Manor, Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Upland, CA. St Grace Manor, Inc practices in Upland, CA. The NPI Number for St Grace Manor, Inc is 1588013528 and holds a License No. (California).

The current practice location address for St Grace Manor, Inc is 804 W 8Th St, Upland, CA and can be reached out via phone at 951-545-4462.

Location: 804 W 8Th St, Upland, CA, 91786-6401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588013528
Provider Name
St Grace Manor, Inc
Credential
Provider Entity Type
Organization
Address
804 W 8Th St, Upland, CA, 91786-6401
Phone Number
951-545-4462
Fax Number
Provider Enumeration Date
06/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 05 CA
institution
Provider Business Practice Location Address Details
Address
804 W 8Th St
City
Upland
State
California
Zip
91786-6401
Phone Number
951-545-4462
Fax Number
person
Provider Business Mailing Address Details
Address
804 W 8Th St
City
Upland
State
California
Zip
91786-6401
Phone Number
951-545-4462
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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