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Gordons Grace II Co. — NPI 1265186381, Los Angeles, CA | NPI Central

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NPI 1265186381

OrganizationActive

Gordons Grace II Co.

NPI 1265186381 · Assisted Living Facility (Behavioral Disturbances) · Los Angeles, CA

Provider details

NPI number: 1265186381
Entity type: Organization
Primary specialty: Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Melissa Gordon, Administrator(323) 599-0269

Specialties & taxonomies

Assisted Living Facility (Behavioral Disturbances)Primary3104A0630X
Nursing & Custodial Care Facilities

Practice location

524 W 104th St

Los Angeles, CA 90044-4402

Phone: (323) 599-0269

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

524 W 104th St

Los Angeles, CA 90044-4402

Other names (DBA / former)

Doing business as: Gordons Grace II

Registry dates

Enumerated: 2022-02-08
Last updated: 2022-02-08
Certified: 2022-02-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.