Grace Angela Smalls
Home Health Aide in Washington, DC. Individual provider (NPI-1).
NPI number1164094785
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1164094785
- Entity type
- Individual (NPI-1)
- Name
- Grace Angela Smalls
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Jul 13, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
800 Emerson St NwWashington, DC 20011-4518
Phone 202-722-0930
Mailing address
810 Emerson St NwWashington, DC 20011-4518
Phone 202-428-5604
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