Organization
ESIACARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE AGBOH (CRNP)
(201) 450-5793
Entity
Organization
Contact information
Practice address
5508 HARFORD RD, BALTIMORE, MD 21214-2231
(201) 450-5749
Mailing address
8 DUNHAVEN PL APT 1A, NOTTINGHAM, MD 21236-7545
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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