AGING GRACE SENIOR LIVING FACILITY LLC NPI 1033864525

NPI Information

AGING GRACE SENIOR LIVING FACILITY LLC is an assisted living facility in Hesperia, CA. The provider is 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. AGING GRACE SENIOR LIVING FACILITY LLC NPI is 1033864525. The provider is registered as an organization entity type.

The provider's business location address is:

11539 HAWTHORNE AVE
HESPERIA, CA
ZIP 92345-927
Phone: (760) 508-8421

The provider's authorized official is Brittany Martin .
The authorized official title is Administrator and has the following contact phone number (760) 508-8421.

The enumeration date for this NPI number is 2/14/2022 and was last updated on 2/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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