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

Grace Villa Olague

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1104096486

Grace Villa Olague is a Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008
Specialties on file
2

Practice location Address checks out

4791 S Lincoln Ridge Dr
Tucson, AZ 85730-4815
Phone: (520) 900-2749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 639513 (AZ)
Respite Care Taxonomy 385H00000X · Licence 639516 (AZ)

Record details

NPI number1104096486
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 3, 2008
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

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