# GRACE HEALTH CARE

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

## Provider details

- **NPI number:** 1215488606
- **Authorized official:** MISS ANAHITA MESHKANI-MEHDIAN MSN , FNP-C (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (731) 695-2165

## Contact information

- **Practice address:** 100 CHERRYWOOD PL, JACKSON, TN 38305-1741
- **Practice address phone:** (731) 668-1900
- **Practice address fax:** (731) 664-2175
- **Mailing address:** 100 CHERRYWOOD PL, JACKSON, TN 38305-1741
- **Mailing address phone:** (731) 668-1900
- **Mailing address fax:** (731) 664-2175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | APN0000021900 | TN | Yes |

## Other

- **Enumeration date:** 10/20/2016
- **Last updated:** 10/20/2016