Organization
GRACE AND MERCY HEALTH SERVICES.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY MBANDI FORLU RN (DIRECTOR)
(202) 359-9725
Entity
Organization
Contact information
Practice address
4601 PRESIDENTS DR STE 232, LANHAM, MD 20706-4870
(202) 359-9725
(301) 441-2360
Mailing address
4601 PRESIDENTS DR STE 232, LANHAM, MD 20706-4870
(202) 359-9725
(301) 441-2360
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
NSA-0208
DC
251J00000X
Nursing Care Agency
0705009
MD
251J00000X
Nursing Care Agency
Primary
R2494
MD
253Z00000X
In Home Supportive Care Agency
400315904666
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039843400
—
DC
05
—
416061400
—
MD
05
—
5966201400
—
MD
05
—
966201400
—
MD
05
—
966202200
—
MD
Enumeration date
09/26/2008
Last updated
08/01/2023
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