NPI 1528928090

Village of Grace Corp

Organisation Adult Care Home Facility Columbia, MS

Practice location

Address: 612 Jackson Ave, Columbia, MS 39429-3019
Phone: (601) 633-1573

Authorised official

Name: Ce Cole Dillon
Title: Interim Ceo
Phone: (601) 633-1573

Registered specialties (7)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Meals Provider

Other Service Providers Taxonomy 174200000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Public Health or Welfare Agency

Agencies Taxonomy 251K00000X

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Community Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QC1500X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1528928090
Entity type: Organization
NPI issued: 17 Nov 2025
Record last updated: 22 Nov 2025

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.