Organization
GRACEFUL NURSE'S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE NYUYKI ADEMBUH (OWNER)
(240) 593-1547
Entity
Organization
Contact information
Practice address
1836 METZEROTT RD, SUITE 1425, ADELPHI, MD 20783-3475
(240) 593-1547
(301) 755-5945
Mailing address
1836 METZEROTT RD, SUITE 1425, ADELPHI, MD 20783-3475
(240) 593-1547
(301) 755-5945
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
251J00000X
MD
253Z00000X
In Home Supportive Care Agency
253Z00000X
MD
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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