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Contact Information

ABUNDANT GRACE HEALTH SERVICES LLC
4645 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON, DC20019-3622
 Phone: 240-468-6009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ABUNDANT GRACE HEALTH SERVICES LLC

NPI Number 1982182150
LBN Legal business name ABUNDANT GRACE HEALTH SERVICES LLC
Authorized official JEANNE JOHNSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2018
Last updated 07/31/2018 - About 8 years ago
Identifiers
DC License # 012218-388
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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