Organization
GARDENS OF GRACE LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIAH HICKMAN (ADMINISTARTOR)
(404) 617-5502
Entity
Organization
Contact information
Practice address
9818 IVEY RIDGE CIR, JONESBORO, GA 30238-4157
(404) 617-5502
Mailing address
9818 IVEY RIDGE CIR, JONESBORO, GA 30238-4157
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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