Organization
GRACIE CARE LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TATENDA GWENA OWNER (CEO)
(202) 853-8097
Entity
Organization
Contact information
Practice address
3205 BEAVERWOOD LN, SILVER SPRING, MD 20906-3001
(202) 853-8097
Mailing address
3205 BEAVERWOOD LN, SILVER SPRING, MD 20906-3001
(202) 853-8097
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
10/30/2023
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