Intermediate Care Facility, Intellectual Disabilities
Primary
An intermediate care facility providing services for individuals with intellectual disabilities.
taxonomy 315P00000X
Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
taxonomy 310400000X
Technician, Pathology
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
taxonomy 247ZC0005X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Quality Mobile Lab
Type code 3recorded 2022-10-30
Saving Grace Homes
Type code 3recorded 2022-10-30
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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