Village of Grace Corp

NPI #1528928090 in Columbia, Mississippi

Provider Information

NPI Number
1528928090
Entity Type
Organization
Organization Name
Village of Grace Corp
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Nov 17, 2025
Last Updated
Nov 22, 2025

Practice Location

Address
612 JACKSON AVE
ZIP Code
39429-3019
Phone
(601) 633-1573

Authorized Official

Name
CE COLE DILLON
Title
INTERIM CEO
Phone
(601) 633-1573

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health
Case Management
Home Health
Public Health or Welfare
Respite Care
Meals
Custodial Care Facility - Adult Care HomeAdult Care Home

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