Provider Demographics
NPI:1033959879
Name:GRACED 2 CARE, ARF INC.
Entity type:Organization
Organization Name:GRACED 2 CARE, ARF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANEE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARBERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-521-0085
Mailing Address - Street 1:13337 SOUTH ST # 226
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-7308
Mailing Address - Country:US
Mailing Address - Phone:682-521-0085
Mailing Address - Fax:
Practice Address - Street 1:14285 FAA BLVD APT 4213
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76155-2660
Practice Address - Country:US
Practice Address - Phone:682-521-0085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities