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Organization
VILLAGE OF GRACE CORP
Active
Organization
VILLAGE OF GRACE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CE COLE DILLON (INTERIM CEO)
(601) 633-1573
Entity
Organization
Contact information
Practice address
612 JACKSON AVE, COLUMBIA, MS 39429-3019
(601) 633-1573
Mailing address
612 JACKSON AVE, COLUMBIA, MS 39429-3019
(601) 633-1573
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
11/17/2025
Last updated
11/22/2025
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