Heavenly Grace Assistant Living Facility, Inc

NPI 1447559406 - Assisted Living Facility - 310400000X

NPI Details
NPI 1447559406
Enumeration Date 03/16/2011
Last Updated 03/16/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRENDA A BRENDA
Position MANAGER
Phone (443) 271-0884
Fax (410) 435-7259
Practice Location
1210 GITTINGS AVE
BALTIMORE MD, 21239-1720, US
Phone (443) 271-0884
Fax (410) 435-7259
Business Location
PO BOX 66493
BALTIMORE MD, 21239-6493, US
Phone (443) 271-0884
Fax (410) 435-7259
Toxanomy
Taxonomy Code 310400000X
License State Maryland
License Number 30AL3017B
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According to our database, Heavenly Grace Assistant Living Facility, Inc NPI is 1447559406, taxonomy code is 310400000X and license number is 30AL3017B, license state is located at Maryland. Heavenly Grace Assistant Living Facility, Inc physically located at 1210 Gittings Ave, Baltimore MD, 21239-1720. NPI Number 1033115704 has the healthcare provider type.

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1447559406 NPI number is provided on an as is basis without warranty of any kind. 1447559406 is maintained by the National Plan & Provider Enumeration System. The contents of Heavenly Grace Assistant Living Facility, Inc are for informational purposes only.