Organization
HOUSE OF LUCY GRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOSHA RENEE WILLS (CEO/OWNER)
(240) 216-5536
Entity
Organization
Contact information
Practice address
3310 ALDGATE CT, WHITE PLAINS, MD 20695-4455
(240) 216-5536
(240) 216-5536
Mailing address
3310 ALDGATE CT, WHITE PLAINS, MD 20695-4455
(240) 216-5536
(240) 216-5536
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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