Grace Providers Home Health Care Inc.

NPI #1598167652 in Chantilly, Virginia

Provider Information

NPI Number: 1598167652
Entity Type: Organization
Organization Name: Grace Providers Home Health Care Inc.
Primary Specialty: Home Health
Enumeration Date: Sep 20, 2014
Last Updated: Sep 20, 2014

Practice Location

Address: 3931 AVION PARK CT UNIT C161232
City: Chantilly
State: Virginia
ZIP Code: 20151-3982
Phone: (703) 596-4544

Authorized Official

Name: MR. DAVID H MAINGUY
Title: ADMINISTRATOR
Phone: (410) 770-9930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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