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Contact Information

GRACE UDO
11605 EDMONSTON RD
BELTSVILLE, MD20705-1739
 Phone: 301-595-3477
 Fax: 301-595-3466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for GRACE UDO

NPI Number 1871672725
LBN Legal business name GRACE UDO
Authorized official DAVID UDO - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2006
Last updated 02/13/2009 - About 17 years ago
Identifiers
MD Medicaid 015030400
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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