| NPI | 1487476453 |
|---|---|
| Other Name | GRACEWAY HEALTH CARE, LLC - ROSEDALE 2 |
| Entity Type | Organization |
| Authorized Contact | KRYSTLE D BROWN Practice Administrator 410-800-6251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-11-21 |