Healthcare Provider Details

I. General information

NPI: 1750387742
Provider Name (Legal Business Name): GRACE HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 12/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7255A GREENLEAF AVE FL 2
WHITTIER CA
90602-1313
US

IV. Provider business mailing address

7255A GREENLEAF AVE FL 2
WHITTIER CA
90602-1313
US

V. Phone/Fax

Practice location:
  • Phone: 562-789-0303
  • Fax: 562-789-0505
Mailing address:
  • Phone: 562-789-0303
  • Fax: 562-789-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. ELIZABETH VERGEIRE CARANTIT
Title or Position: ADMINISTRATOR
Credential: BACCALAUREATE DEGREE
Phone: 562-789-0303