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Organization

GRACE HOME MEDICAL EQUIPMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK D RICHARDSON (PRESIDENT)
(410) 939-1212
Entity
Organization

Contact information

Practice address
540 S UNION AVE, HAVRE DE GRACE, MD 21078-3410
(410) 939-1212
(410) 939-5952
Mailing address
540 S UNION AVE, HAVRE DE GRACE, MD 21078-3410
(410) 939-1212
(410) 939-5952

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
MD
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MD
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MD

Other

Enumeration date
09/28/2006
Last updated
09/11/2025
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