NPI 1538567961

By Grace, INC

Organisation Point of Service Baltimore, MD

Practice location

Address: 1002 E Patapsco Ave, Baltimore, MD 21225-2229
Phone: (410) 355-3711
Fax: (410) 355-3971
Mailing address: PO Box 2727, Baltimore, MD 21225-0727

Authorised official

Name: Pamela Dukes
Title: Ceo/Program Sponsor
Phone: (443) 831-0191

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 102166 (MD)

Other Point of Service providers in Maryland →

Registry record

NPI: 1538567961
Entity type: Organization
NPI issued: 17 Dec 2014
Record last updated: 17 Dec 2014

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.