GRACE COTTAGE is an intermediate care facility mentally retarded in Livingston, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. GRACE COTTAGE NPI is 1760710206. The provider is registered as an organization entity type.
The provider's business location address is:
1616 2ND ST
LIVINGSTON, CA
ZIP 95334-247
Phone: (209) 394-9676
Fax: (209) 394-7694
The provider's authorized official is Alice Louise Wall .
The authorized official title is Administrator and has the following contact phone number (209) 394-7696.
The enumeration date for this NPI number is 11/20/2009 and was last updated on 11/20/2009.