# GRACE COMPASSIONATE HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417490277
- **Authorized official:** ALEXIS GILLESPIE CRNP (PRESIDENT/CRNP)
- **Authorized official phone:** (443) 597-6042

## Contact information

- **Practice address:** 113 RIVER FOREST LN, FT WASHINGTON, MD 20744-6240
- **Practice address phone:** (443) 597-6042
- **Mailing address:** 11550 LIVINGSTON RD, PO BOX 441561, FORT WASHINGTON, MD 20749-7599
- **Mailing address phone:** (443) 597-6042
- **Mailing address fax:** (410) 672-2181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R191772 | MD | Yes |
| 314000000X | Skilled Nursing Facility | R191772 | MD | — |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 03/03/2017
