Organization · NPI-2

A Touch Of Grace Hydration And Wellness, LLC

Nurse Practitioner, Primary Care · Catonsville, MD

NPI number1609789668
StatusActive
Last updated in NPPESSep 23, 2026

Details

NPI
1609789668
Entity type
Organization (NPI-2)
Legal business name
A Touch Of Grace Hydration And Wellness, LLC
Organization subpart
No
Enumeration date
Sep 23, 2026
Certification date
Sep 23, 2026
Last updated
Sep 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care––Yes

Practice location

802 Ingleside Ave
Catonsville, MD 21228-1722

Phone 443-418-7338

Mailing address

4945 Lockard Dr
Owings Mills, MD 21117-6178

Phone 443-418-7338

Authorized official

Olamide Odetoye
Nurse Practitioner
4434187338

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