Organization
BRENDA GRACEFUL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FOSTER (OWNER)
(901) 270-9497
Entity
Organization
Contact information
Practice address
3173 KIRBY WHITTEN RD STE 204, BARTLETT, TN 38134-2881
(901) 498-0844
(901) 205-0794
Mailing address
3173 KIRBY WHITTEN RD STE 204, BARTLETT, TN 38134-2881
(901) 270-9497
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/07/2024
Last updated
03/18/2026
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