Organization
GRACE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MICHAEL DENT (VICE PRESIDENT)
(410) 586-3126
Entity
Organization
Contact information
Practice address
90 HOLIDAY DR, UNIT B, SOLOMONS, MD 20688
(410) 586-3126
(410) 586-3128
Mailing address
PO BOX 1410, SOLOMONS, MD 20688-1410
(410) 586-3126
(410) 586-3128
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000747100
—
MD
05
—
036311700
—
DC
Enumeration date
06/09/2006
Last updated
08/22/2023
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