Organization
GRACEWELL HEALTHCARE CORP
Active
Other names
Gracewell Residential Home
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DICKSON (CEO)
(301) 990-8311
Entity
Organization
Contact information
Practice address
438 N FREDERICK AVE STE 215, GAITHERSBURG, MD 20877-2566
(301) 990-8311
(301) 990-8644
Mailing address
438 N FREDERICK AVE STE 215, GAITHERSBURG, MD 20877-2566
(301) 990-8311
(301) 990-8644
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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