# J B GRACE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J B Grace, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376241125
- **Authorized official:** JACQUELINE DUAH (CEO)
- **Authorized official phone:** (703) 407-7029

## Contact information

- **Practice address:** 9037 ENDICOTT PL, LORTON, VA 22079-4541
- **Practice address phone:** (703) 407-7029
- **Mailing address:** 9037 ENDICOTT PL, LORTON, VA 22079-4541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2023
- **Last updated:** 02/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 999999999 | — | VA |