Provider Demographics
NPI:1740165372
Name:RAY OF GRACE ASSISTED LIVING FACILITY
Entity type:Organization
Organization Name:RAY OF GRACE ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAYRIA
Authorized Official - Middle Name:RAICHELLE
Authorized Official - Last Name:CATLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:251-545-1512
Mailing Address - Street 1:3090 TEAL CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4242
Mailing Address - Country:US
Mailing Address - Phone:251-545-1512
Mailing Address - Fax:
Practice Address - Street 1:1312 CENTRAL DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605-2101
Practice Address - Country:US
Practice Address - Phone:251-545-1512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness