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

Gracey Manor LLC

Organization Assisted Living Facility · NPI 1194033894

Gracey Manor LLC is an Assisted Living Facility in Loganville, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in
GA
In the registry since
2010
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

3400 Youth Monroe Rd
Loganville, GA 30052-4327
Phone: (770) 466-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 147010191 (GA)

Record details

NPI number1194033894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaundell Blege — On Site Manager · (404) 889-7145
NPI enumeratedSeptember 16, 2010
Last updated in NPPESSeptember 16, 2010
Mailing address3400 Youth Monroe Rd, Loganville, GA 30052-4327

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