Organization
ABUNDANT GRACE HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBIRA ADAMS (MANAGER)
(410) 496-5027
Entity
Organization
Contact information
Practice address
8629 LIBERTY RD, SUITE D, RANDALLSTOWN, MD 21133-4713
(410) 496-5027
Mailing address
8629 LIBERTY RD, SUITE D, RANDALLSTOWN, MD 21133-4713
(410) 496-5027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R1186
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41300200
—
MD
Enumeration date
08/27/2009
Last updated
08/27/2009
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