NPI 1710801709

Grace Residential Services , LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Olive Branch, MS

Practice location

Address: 4615 Riva Ridge Dr, Olive Branch, MS 38654-2029
Phone: (901) 219-1053

Authorised official

Name: Hillary Burnette
Title: Owner
Phone: (901) 219-1053

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1710801709
Entity type: Organization
NPI issued: 5 Aug 2026
Record last updated: 5 Aug 2026

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.