GRACE HOME, INC.
Nursing at Peach Ave, Livingston, CA

License number
California 040000171
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MR. ROBERT ISAAC RN
Title: ADMINISTRATOR
Phone: (209) 394-2440
Address
Address
13435 Peach Ave, Livingston, CA 95334
National Provider ID: 1750368387
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRACE HOME, INC

13435 W Peach Ave, Livingston, CA 95334

Industry:
Skilled Nursing Care Facility, Nursing Homes
Doing business as:
Grace Home
Registration:
Feb 13, 1959
Site:
sp.bestflowers.com
Phone:
(209) 394-2440 (Phone)
State ID:
C0368875
Business type:
Articles of Incorporation
President:
Ronald Koehn (President)
Agent:
Barry Yost,Livingston, CA 95334 (Physical)
Categories:
Nursing & Convalescent Homes, Nursing & Personal Care Facilities
Products:
Life Care Homes, Nursing Home Services

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