Healthcare Provider Details

I. General information

NPI: 1417812165
Provider Name (Legal Business Name): GRACEFUL LIVING FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8131 KIRKWALL CT
TOWSON MD
21286-8322
US

IV. Provider business mailing address

8131 KIRKWALL CT
TOWSON MD
21286-8322
US

V. Phone/Fax

Practice location:
  • Phone: 443-798-4311
  • Fax:
Mailing address:
  • Phone: 443-798-4311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SALAY SESAY
Title or Position: OWNER
Credential: CRNP
Phone: 443-798-4311