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Organization
ZOE GRACE HEALTHCARE SERVICES, LLC
Active
Organization
ZOE GRACE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOYIN A JOHNSON (CEO)
(301) 675-8062
Entity
Organization
Contact information
Practice address
6008 NEW FOREST CT APT 4, WALDORF, MD 20603-4741
(240) 607-9649
(240) 607-2049
Mailing address
6008 NEW FOREST CT APT 4, WALDORF, MD 20603-4741
(240) 607-9649
(240) 607-2049
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
R4122
MD
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
320700000X
Physical Disabilities Residential Treatment Facility
—
NULL
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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