Organization
GREATER GRACE GROUP HOME INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ABOSEDE OLABODE RN, MSN (PRESIDENT)
(256) 348-5648
Entity
Organization
Contact information
Practice address
2809 FAIRCROFT WAY, MONROE, NC 28110-8837
(256) 348-5648
Mailing address
2809 FAIRCROFT WAY, MONROE, NC 28110-8837
(256) 348-5648
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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