# GRACE COMMUNITY LIVING

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

## Provider details

- **NPI number:** 1245532985
- **Authorized official:** MRS. TIFFANI ALYCE BROWN RN (ADMINISTRATOR/CEO)
- **Authorized official phone:** (478) 747-9329

## Contact information

- **Practice address:** 2402 ANTHONY TER, MACON, GA 31206-3120
- **Practice address phone:** (478) 788-9706
- **Practice address fax:** (347) 710-9329
- **Mailing address:** 1495 WESTMINISTER DR, MACON, GA 31204-4844
- **Mailing address phone:** (478) 254-4129
- **Mailing address fax:** (347) 710-9329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | 011-01-114-1 | GA | — |
| 311ZA0620X | Adult Care Home Facility | 011-01-114-1 | GA | Yes |

## Other

- **Enumeration date:** 12/01/2010
- **Last updated:** 12/01/2010