# GRACES SUPPORTIVE LIVING SERVICES, LLC

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

## Provider details

- **NPI number:** 1871044438
- **Authorized official:** KEISHA DENISE DOWDELL (OWNER)
- **Authorized official phone:** (770) 984-5388

## Contact information

- **Practice address:** 3350 RIVERWOOD PKWY SE STE 1900, ATLANTA, GA 30339
- **Practice address phone:** (770) 984-5388
- **Mailing address:** 3350 RIVERWOOD PKWY SE STE 1900, ATLANTA, GA 30339-3372
- **Mailing address phone:** (770) 984-5388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | GA | Yes |

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 07/21/2022