Amazing Grace Care Services LLC

Organization Active NPI Assisted Living Facility · Beaumont, CA

NPI 1306452008 · NPPES record last updated Sep 17, 2020

Key facts

NPI
1306452008
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
AMAZING GRACE CARE SERVICES LLC
Practice address
43 Sitara Ave
Beaumont, CA 92223-3110
Phone
(310) 592-5338
Fax
(844) 970-1027
NPI assigned
Sep 17, 2020
Organization subpart
No

Authorized official

Name
Florence A Mojica
Title
Ceo/Administrator
Phone
(310) 592-5338

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

43 Sitara Ave
Beaumont, CA 92223-3110

Mailing address

1651 Rose Ave
Beaumont, CA 92223-7174
Phone (310) 592-5338

Other practice location 1

1651 Rose Ave
Beaumont, CA 92223-7174
Phone (310) 592-5338

Other providers in Beaumont, CA

All providers in Beaumont, CA · Assisted Living Facility in California

Sources for this page

Verify at the official NPI Registry.