Organization
BEYOND GRACE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRISCILLA COOMSON DNP, MSN, RN (CEO)
(202) 644-3613
Entity
Organization
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(202) 644-3613
Mailing address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/15/2022
Last updated
05/11/2023
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