NPI 1245532985

Grace Community Living

Organisation Adult Care Home Facility Macon, GA

Practice location

Address: 2402 Anthony Ter, Macon, GA 31206-3120
Phone: (478) 788-9706
Fax: (347) 710-9329
Mailing address: 1495 Westminister Dr, Macon, GA 31204-4844

Authorised official

Name: Tiffani Alyce Brown
Title: Administrator/Ceo
Phone: (478) 747-9329

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 011-01-114-1 (GA)

Other Custodial Care Facility providers in Georgia →

Custodial Care Facility

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 011-01-114-1 (GA)

Registry record

NPI: 1245532985
Entity type: Organization
NPI issued: 1 Dec 2010
Record last updated: 1 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.