Organization
GRACE PROVIDERS HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H MAINGUY (ADMINISTRATOR)
(410) 770-9930
Entity
Organization
Contact information
Practice address
3931 AVION PARK CT UNIT C161232, CHANTILLY, VA 20151-3982
(703) 596-4544
Mailing address
3931 AVION PARK CT UNIT C161232, CHANTILLY, VA 20151-3982
(703) 596-4544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-151156
VA
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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