Renaissance Grace Services LLC
NPI #1013617851 in Clarksburg, Maryland
Provider Information
- NPI Number
- 1013617851
- Entity Type
- Organization
- Organization Name
- Renaissance Grace Services LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 9, 2023
- Last Updated
- Mar 9, 2023
Practice Location
- Address
- 12009 TREGONING PL
- City
- Clarksburg
- State
- Maryland
- ZIP Code
- 20871-9365
- Phone
- (301) 979-8104
Authorized Official
- Name
- MR. JEAN-CHRISTOPHE NOUKELAK SR.
- Title
- ADMINISTRATOR
- Phone
- (301) 979-8104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Meals |
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Health Maintenance Organization |
| Preferred Provider Organization |
| Non-emergency Medical Transport (VAN) |
| Respite Care |
| Home Health |
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