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Organization
GRACE COMPASSIONATE HEALTH CARE
Active
Organization
GRACE COMPASSIONATE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS GILLESPIE CRNP (PRESIDENT/CRNP)
(443) 597-6042
Entity
Organization
Contact information
Practice address
113 RIVER FOREST LN, FT WASHINGTON, MD 20744-6240
(443) 597-6042
Mailing address
11550 LIVINGSTON RD, PO BOX 441561, FORT WASHINGTON, MD 20749-7599
(443) 597-6042
(410) 672-2181
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R191772
MD
314000000X
Skilled Nursing Facility
R191772
MD
Other
Enumeration date
11/28/2016
Last updated
03/03/2017
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