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NPI Code Detail

MEDICARE: GRACE GHARTEY HHA

MEDICARE: GRACE GHARTEY HHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1679812325
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE GHARTEY HHA
Provider Business Mailing Address
First Line : 3532 GENTRY RIDGE CT
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4960
Country : US
Telephone Number : 202-545-0935
Fax Number : 202-545-0176
Provider Business Practice Location Address
First Line : 3532 GENTRY RIDGE CT
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4960
Country : US
Telephone Number : 202-545-0935
Fax Number : 202-545-0176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2013
Last Update Date : 01/31/2013

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