Organization
GOD'S GRACE HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAR MASINGALE (EXECUTIVE DIRECTOR)
(423) 435-1955
Entity
Organization
Contact information
Practice address
2567 HIGHWAY 39 E, ENGLEWOOD, TN 37329-5356
(423) 435-1955
Mailing address
2567 HIGHWAY 39 E, ENGLEWOOD, TN 37329-5356
(423) 435-1955
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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