Organization
GRACE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH NGONG NGAM AYEAH MPH (PROGRAM DIRECTOR)
(240) 491-6774
Entity
Organization
Contact information
Practice address
6911 RICHMOND HWY # 324C, ALEXANDRIA, VA 22306-1842
(240) 491-6774
Mailing address
6911 RICHMOND HWY # 324C, ALEXANDRIA, VA 22306-1842
(240) 491-6774
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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