Organization
GRACE OUTREACH ADC
Active
Parent organization
GRACE OUTREACH ADC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRACE OUTREACH ADC
Authorized official
MS. HEATHER DEBBIE WRIGHT (PROGRAM DIRECTOR)
(410) 466-8702
Entity
Organization
Contact information
Practice address
2605 BANISTER RD, BALTIMORE, MD 21215-6505
(410) 466-8702
(410) 466-8706
Mailing address
2605 BANISTER RD, BALTIMORE, MD 21215-6505
(410) 466-8702
(410) 466-8706
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
14350
MD
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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