# DIVINE GRACE LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1891628004
- **Authorized official:** MS. BUKOLA ADEBAYO MD (MANAGING DIRECTOR)
- **Authorized official phone:** (443) 608-7077

## Contact information

- **Practice address:** 16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
- **Practice address phone:** (443) 608-7077
- **Mailing address:** 16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
- **Mailing address phone:** (443) 608-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2026
- **Last updated:** 06/10/2026