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Graceland Behavioral Home LLC — NPI 1811617889, Maricopa, AZ | NPI Central

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NPI 1811617889

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Graceland Behavioral Home LLC

NPI 1811617889 · Assisted Living Facility (Behavioral Disturbances) · Maricopa, AZ

Provider details

NPI number: 1811617889
Entity type: Organization
Primary specialty: Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Kofi Kusi, Owner(602) 752-7158

Specialties & taxonomies

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

Practice location

35696 W Santa Monica Ave

Maricopa, AZ 85138-2620

Phone: (602) 752-7158

Approximate (ZIP-level) locationGet directions

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Mailing address

35696 W Santa Monica Ave

Maricopa, AZ 85138-2620

Other names (DBA / former)

Doing business as: Graceland Behavioral Home

Registry dates

Enumerated: 2022-08-30
Last updated: 2022-08-30
Certified: 2022-08-30

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