| Aging Grace LLC | |
|
604 Grain Ct E Millersville MD 21108-1657 | |
| (410) 926-6323 | |
| Not Available |
| Full Name | Aging Grace LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 604 Grain Ct E, Millersville, Maryland |
| Authorized Official Name and Position | Briana N Flowers (CO OWNER/PROVIDER) |
| Authorized Official Contact | 4109266323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aging Grace LLC 604 Grain Ct E Millersville MD 21108-1657 Ph: (410) 926-6323 | Aging Grace LLC 604 Grain Ct E Millersville MD 21108-1657 Ph: (410) 926-6323 |
| NPI Number | 1578277612 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578277612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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