| Organization Name: | GRACEFUL NURSE'S LLC |
| NPI Number: | 1013212521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GRACE NYUYKI ADEMBUH (OWNER) |
| Mailing Address: | 1836 Metzerott Rd Suite 1425 Adelphi |
| State: | MD US |
| Postal Code: | 207833475 |
| Phone Number: | 2405931547 |
| Fax Number: | 3017555945 |
| NPI Enumeration Date: | 01/13/2011 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 253Z00000X |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |