# SEASONS OF GRACE CORPORATION

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

## Provider details

- **NPI number:** 1508780206
- **Authorized official:** MS. LA TONYA EVETTE ANDERSON CPHT, BS, MBA (EXECUTIVE DIRECTOR, CCO)
- **Authorized official phone:** (901) 315-2668

## Contact information

- **Practice address:** 3086 RUBY LN, MEMPHIS, TN 38111-2936
- **Practice address phone:** (901) 315-2668
- **Mailing address:** 3086 RUBY LN, MEMPHIS, TN 38111-2936
- **Mailing address phone:** (901) 315-2668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/05/2026
- **Last updated:** 08/05/2026