Organization
GRACEAGE CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERAQUISA NESBY (OWNER)
(662) 274-9477
Entity
Organization
Contact information
Practice address
6000 POPLAR AVE, MEMPHIS, TN 38119-3981
(901) 690-5013
(662) 504-4234
Mailing address
201 POLO RUN CV, BYHALIA, MS 38611-7505
(901) 659-7242
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/12/2024
Last updated
09/08/2025
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