Healthcare Provider Details

I. General information

NPI: 1760397947
Provider Name (Legal Business Name): GRACE COMMUNITIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5261 SNYDER DR SW
WYOMING MI
49418-9514
US

IV. Provider business mailing address

855 MAPLEHILL AVE SE
ADA MI
49301-3805
US

V. Phone/Fax

Practice location:
  • Phone: 574-276-8612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE WILLIAMS
Title or Position: CEO
Credential:
Phone: 574-276-8612