# GRACED BY GRACE

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

## Provider details

- **NPI number:** 1720703879
- **Authorized official:** SHEKINAH A LEE-GALLOWAY CNA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 309-6250

## Contact information

- **Practice address:** 5205 OLD AUGUSTA RD, GREENVILLE, SC 29605-1645
- **Practice address phone:** (864) 356-1461
- **Mailing address:** 326 CRABAPPLE CHASE, ANDERSON, SC 29625-3831
- **Mailing address phone:** (864) 309-6250
- **Mailing address fax:** (864) 772-3497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QV0200X | VA Clinic/Center | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2022
- **Last updated:** 10/10/2022