Organization
GRACED BY GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEKINAH A LEE-GALLOWAY CNA (EXECUTIVE DIRECTOR)
(864) 309-6250
Entity
Organization
Contact information
Practice address
5205 OLD AUGUSTA RD, GREENVILLE, SC 29605-1645
(864) 356-1461
Mailing address
326 CRABAPPLE CHASE, ANDERSON, SC 29625-3831
(864) 309-6250
(864) 772-3497
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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