Organization
J B GRACE, LLC
Active
Other names
J B Grace, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DUAH (CEO)
(703) 407-7029
Entity
Organization
Contact information
Practice address
9037 ENDICOTT PL, LORTON, VA 22079-4541
(703) 407-7029
Mailing address
9037 ENDICOTT PL, LORTON, VA 22079-4541
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999999999
—
VA
Enumeration date
02/21/2023
Last updated
02/21/2023
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