By Grace, INC

NPI #1538567961 in Baltimore, Maryland

Provider Information

NPI Number: 1538567961
Entity Type: Organization
Organization Name: By Grace, INC
Primary Specialty: Point of Service
Enumeration Date: Dec 17, 2014
Last Updated: Dec 17, 2014

Practice Location

Address: 1002 E PATAPSCO AVE
City: Baltimore
State: Maryland
ZIP Code: 21225-2229
Phone: (410) 355-3711

Authorized Official

Name: MISS PAMELA DUKES, MHS, CPC, CAC-AD
Title: CEO/PROGRAM SPONSOR
Phone: (443) 831-0191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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