Organization
GRACE LINE NURSING LLC
Active
Other names
GLNursing
Organization subpart
No
Provider details
NPI number
Authorized official
OMOBOLANLE F BABAFEMI LLB (PROGRAM MANAGER)
(240) 544-8093
Entity
Organization
Contact information
Practice address
15445 DEPOT LN, UPPER MARLBORO, MD 20772-3157
(240) 544-8093
Mailing address
15445 DEPOT LN, UPPER MARLBORO, MD 20772-3157
(240) 544-8093
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
NRSA140028
MD
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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