Organization
GRACE AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRABELLE TAMBE (ADMINISTRATOR)
(443) 919-7778
Entity
Organization
Contact information
Practice address
1335 LINDEN AVE, HALETHORPE, MD 21227-2407
(443) 919-7778
(443) 919-7779
Mailing address
1335 LINDEN AVE, HALETHORPE, MD 21227-2407
(443) 919-7778
(443) 919-7779
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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