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1316121742
AMAZING GRACE RESIDENTIAL SERVICES AGENCY
LAUREL, MD
NPI
1316121742
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Entity Type
Organization
Authorized Contact
EDWARD O LANLOKUN
Administrator
301-497-4117
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
(Licence: MD R2546)
Enumeration Date
2007-12-20
Last Update Date
2007-12-20
Business Address
AMAZING GRACE RESIDENTIAL SERVICES AGENCY
8645 VINTAGE EARTH PATH
LAUREL, MD 20723-5880
Phone number: 301-497-4117
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Mailing Address
AMAZING GRACE RESIDENTIAL SERVICES AGENCY
8645 VINTAGE EARTH PATH
LAUREL, MD 20723-5880
Phone number: 301-497-4117
Copy
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