OrganizationActive
Grace Reliant Healthcare, LLC
NPI 1912399254 · In Home Supportive Care Agency · Jackson, MO
Provider details
- NPI number
- 1912399254
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Susan Stone, Managing Member(573) 204-9200
Specialties & taxonomies
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
510 W Main St
Jackson, MO 63755-1741
Phone: (573) 204-9200
Fax: (573) 243-7133
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 332
Jackson, MO 63755-0332
Other names (DBA / former)
- Doing business as
- Grace Reliant Health Services
Registry dates
- Enumerated
- 2015-02-24
- Last updated
- 2015-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.