Healthcare Provider Details

I. General information

NPI: 1477419034
Provider Name (Legal Business Name): GRACE WORKS COMMUNITY DEVELOPMENT CORPORATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 STONE MILL CIR
MURFREESBORO TN
37130-1496
US

IV. Provider business mailing address

813 STONE MILL CIR
MURFREESBORO TN
37130-1496
US

V. Phone/Fax

Practice location:
  • Phone: 615-705-1897
  • Fax:
Mailing address:
  • Phone: 615-705-1897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: NAOMI DANIELS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 615-705-1897