| Organization Name: | GRACE ASSISTED LIVING INC |
| NPI Number: | 1699148858 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERIHUN TEKLEHAIMANOT (PRESIDENT) |
| Mailing Address: | 20223 E 47th Ave Denver |
| State: | CO US |
| Postal Code: | 802497321 |
| Phone Number: | 7202969909 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2015 |
| NPI Last Update Date: | 11/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |