Provider Demographics
NPI:1194999011
Name:GRAQCE SENIOR SERVICES, INC.
Entity type:Organization
Organization Name:GRAQCE SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-388-0645
Mailing Address - Street 1:118 RAVEN CT
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-8431
Mailing Address - Country:US
Mailing Address - Phone:507-388-0645
Mailing Address - Fax:507-388-5412
Practice Address - Street 1:118 RAVEN CT
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8431
Practice Address - Country:US
Practice Address - Phone:507-388-0645
Practice Address - Fax:507-388-5412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care