Grace Residential Services, Llc

LBN: Grace Residential Services, Llc
Grace Residential Services, Llc is an health care organization with primary practice located at 4117 Brookside Oaks Road , Owings Mills MD 21117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Grace Residential Services, Llc can be contacted via phone (443) 677-7130, or through Adeola, Omolara O via phone (443) 677-7130.

Contact Information

Primary practice address
4117 Brookside Oaks Road Owings Mills MD 21117
Phone: (443) 677-7130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adeola, Omolara O
Phone: (443) 677-7130

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1033675897
LBN Legal business name Grace Residential Services, Llc
DBA Doing business as
Authorized official Adeola, Omolara O
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2019
Last updated Feb 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033675897 NPPES
Maryland MEDICAID 122456

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