# GRACE & MERCY HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104447507
- **Authorized official:** ALESHIA MONIQUE FORD AANC (FNP)
- **Authorized official phone:** (601) 691-0100

## Contact information

- **Practice address:** 131 LEXINGTON ST, PICKENS, MS 39146-3914
- **Practice address phone:** (601) 691-0100
- **Mailing address:** 3127 GREENFIELD RD LOT 162, PEARL, MS 39208-8771
- **Mailing address phone:** (601) 691-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/27/2020
- **Last updated:** 04/27/2020