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Organization

DIVINE GRACE STAFFING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADENIKE HANNAH AJIBADE (CEO/PRESIDENT)
(240) 421-7392
Entity
Organization

Contact information

Practice address
18477 STONE HOLLOW DR, SUITE 500, GERMANTOWN, MD 20874-2130
(240) 421-7392
(240) 454-7485
Mailing address
18477 STONE HOLLOW DR, SUITE 500, GERMANTOWN, MD 20874-2130
(240) 421-7392
(240) 454-7485

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
0909006
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0909006
DHMH(MARYLAND) NURSING STAFFING APPROVAL LICENCE NO
MD
Enumeration date
10/22/2009
Last updated
11/12/2009
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