| Grace And Mercy Community Services Incorporated | |
|
4601 Presidents Drive Suite 232 Lanham MD 20706 | |
| (202) 853-8109 | |
| (301) 441-2360 |
| Full Name | Grace And Mercy Community Services Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 4601 Presidents Drive, Lanham, Maryland |
| Authorized Official Name and Position | Mercy Forlu (DIRECTOR) |
| Authorized Official Contact | 2023599725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace And Mercy Community Services Incorporated 4601 Presidents Drive Suite 232 Lanham MD 20706 Ph: () - | Grace And Mercy Community Services Incorporated 4601 Presidents Drive Suite 232 Lanham MD 20706 Ph: (202) 853-8109 |
| NPI Number | 1366137168 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Medicare PECOS PAC ID | 5890213656 |
|---|---|
| Medicare Enrollment ID | O20250515000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366137168 | NPI | - | NPPES |
| 425096600 | Medicaid | MD |
| Provider Name | Roberta J Darling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316734486 PECOS PAC ID: 8921527151 Enrollment ID: I20250521001748 |
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