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Contact Information

GRACE LINE NURSING LLC
15445 DEPOT LN
UPPER MARLBORO, MD20772-3157
 Phone: 240-544-8093
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for GRACE LINE NURSING LLC

NPI Number 1184129298
LBN Legal business name GRACE LINE NURSING LLC
Authorized official OMOBOLANLE BABAFEMI - (PROGRAM MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2018
Last updated 03/29/2018 - About 8 years ago
Identifiers
MD License # NRSA140028
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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