National Provider Identifier Database

GRACELAND RESIDENTIAL INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

GRACELAND RESIDENTIAL INC
7003 FOUNTAIN PARK DR
GLENN DALE, MD20769-9475
Phone: 919-525-6764
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for GRACELAND RESIDENTIAL INC

NPI Number 1376497198
Legal business name
LBN
GRACELAND RESIDENTIAL INC
Authorized official STEPHEN DAVID - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/26/2026
Last updated 02/26/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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