Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Independent Living Store, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1417450891

Grace Independent Living Store, LLC is a Durable Medical Equipment & Medical Supplies in Ridgeland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

655 Lake Harbour Dr Ste 1100
Ridgeland, MS 39157-4360
Phone: (601) 499-5350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 16852.11.1 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (MS)

Record details

NPI number1417450891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official June Alford — C.E.O./Owner · (601) 260-6674
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018
Mailing addressPo Box 1140, Ridgeland, MS 39158-1140

Other providers in Ridgeland