Healthcare Provider Details

I. General information

NPI: 1336439751
Provider Name (Legal Business Name): SAVING GRACE ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2011
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 CHARLIE DANIELS PKWY SUITE B
MOUNT JULIET TN
37122-3064
US

IV. Provider business mailing address

1006 CHARLIE DANIELS PKWY SUITE B
MOUNT JULIET TN
37122-3064
US

V. Phone/Fax

Practice location:
  • Phone: 615-618-6718
  • Fax:
Mailing address:
  • Phone: 615-618-6718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONICA MCELHINEY
Title or Position: OWNER
Credential:
Phone: 615-618-6718