Organization
TENDERCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIOUS WEAH CNA-DT (OWNER)
(433) 565-2619
Entity
Organization
Contact information
Practice address
8603 GRAY FOX RD APT 203, RANDALLSTOWN, MD 21133-5145
(443) 565-2619
Mailing address
8603 GRAY FOX RD APT 203, RANDALLSTOWN, MD 21133-5145
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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