NPI 1184129298

Grace Line Nursing LLC

Organisation Nursing Care Agency Upper Marlboro, MD

Practice location

Address: 15445 Depot Ln, Upper Marlboro, MD 20772-3157
Phone: (240) 544-8093

Authorised official

Name: Omobolanle F Babafemi
Title: Program Manager
Phone: (240) 544-8093

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence NRSA140028 (MD)

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Registry record

NPI: 1184129298
Entity type: Organization
NPI issued: 29 Mar 2018
Record last updated: 29 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.