Organization
GRACE NURSING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIYE ORIMOLADE RN (CHIEF EXECUTIVE OFFICER)
(301) 792-1355
Entity
Organization
Contact information
Practice address
14626 MONMOUTH DR, BURTONSVILLE, MD 20866-1925
(301) 792-1355
Mailing address
14626 MONMOUTH DR, BURTONSVILLE, MD 20866-1925
(301) 792-1355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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