# GRACE AMBULANCE SERVICES LLC

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

## Provider details

- **NPI number:** 1689132953
- **Authorized official:** MIRABELLE TAMBE (ADMINISTRATOR)
- **Authorized official phone:** (443) 919-7778

## Contact information

- **Practice address:** 1335 LINDEN AVE, HALETHORPE, MD 21227-2407
- **Practice address phone:** (443) 919-7778
- **Practice address fax:** (443) 919-7779
- **Mailing address:** 1335 LINDEN AVE, HALETHORPE, MD 21227-2407
- **Mailing address phone:** (443) 919-7778
- **Mailing address fax:** (443) 919-7779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 03/06/2019