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Organization

GRAND THERAPEUTIC SERVICES LLC

Active
Other names
Grand Therapeutic Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STANLEY TROYD LEGRAND OTR/L; CAPS (OPERATOR)
(678) 900-4118
Entity
Organization

Contact information

Practice address
36 S CHARLES ST STE 203, BALTIMORE, MD 21201-3121
(410) 878-1014
(404) 393-5069
Mailing address
36 S CHARLES ST STE 203, BALTIMORE, MD 21201-3121
(410) 878-1014
(404) 393-5069

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
03/11/2021
Last updated
03/11/2021
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