Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gordons Grace II Co

Organization Assisted Living Facility (Behavioral Disturbances) · NPI 1265186381

Gordons Grace II Co is an Assisted Living Facility (Behavioral Disturbances) in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

524 W 104th St
Los Angeles, CA 90044-4402
Phone: (323) 599-0269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X

Record details

NPI number1265186381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Gordon — Administrator · (323) 599-0269
Other names Gordons Grace Ii
NPI enumeratedFebruary 8, 2022
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022
Mailing address524 W 104th St, Los Angeles, CA 90044-4402

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