| Graceland Medical And Home Health Services Llc | |
|
1719 Willard Way Severn MD 21144-6831 | |
| (240) 505-3867 | |
| Not Available |
| Full Name | Graceland Medical And Home Health Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1719 Willard Way, Severn, Maryland |
| Authorized Official Name and Position | Charity Osei Bonnah (OWNER) |
| Authorized Official Contact | 2405053867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceland Medical And Home Health Services Llc 1719 Willard Way Severn MD 21144-6831 Ph: (240) 505-3867 | Graceland Medical And Home Health Services Llc 1719 Willard Way Severn MD 21144-6831 Ph: (240) 505-3867 |
| NPI Number | 1841025863 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841025863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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