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Contact Information

AMAZING GRACE PRIMARY CARE LLC
1412 CRAIN HWY N STE 3A
GLEN BURNIE, MD21061-7000
 Phone: 301-875-5511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMAZING GRACE PRIMARY CARE LLC

NPI Number 1538827845
LBN Legal business name AMAZING GRACE PRIMARY CARE LLC
Authorized official GRACE OKHUEREIGBE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2021
Last updated 12/03/2021 - About 5 years ago
Identifiers n/a
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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