Organization
GOD'S MERCY AND GRACE GROUP HOME INC
Active
Other names
God's Mercy and Grace Group Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUNDE SEGUN AKINSAWE (MD/CEO)
(443) 657-0024
Entity
Organization
Contact information
Practice address
617 W PATRICK ST STE 2, FREDERICK, MD 21701-4027
(443) 657-0024
Mailing address
617 W PATRICK ST STE 2, FREDERICK, MD 21701-4027
(443) 657-0024
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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